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Speaker 1: When your old career gives you lemons throwing some ice

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mix in some vodka.

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Speaker 2: Call it a podcast from the Mac of All Trade

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Studio in Fairport and driven by Victor Chrysler Dots jeep Ram.

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It's Billified, the Bill Moran Podcast.

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Speaker 3: Well, hello and welcome.

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Speaker 2: Thanks for getting your pot on, Thanks for keeping the

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tush push. Oh, thanks for telling a friend. That's how

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we spread the word about the pirate ship. Danny is

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here Tonight's well, I have special guests joining us. We're

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going there talking about the prostate. Well, it comes up

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once in a while. I think over masturbation, whether or

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not is there a healthy limit that's the way to

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keep your prostate healthy, or we shouldn't say that. We

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should say ejaculation would be a way to keep your

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prostrate healthy. So many times a week you seem very

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uncomfortable about this.

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Speaker 1: Clinically, I don't know. That's why we're bringing somebody in.

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The guy's an expert pro he knows.

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Speaker 3: Yeah, he knows, assholes. Uh right, that's.

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Speaker 1: It's a urologist assistant. Yes, for eurologist specializes in neurology.

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Speaker 2: Okay, when the way to get there is yeah, the

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prostate to the prostate is oh speaking of that, Along

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the same lines, the Toush push play, the game Notoriety

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Danny thanks to the Philadelphia Eagles, I believe.

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Speaker 1: Not the country line Dance, No, I don't think so.

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Come out about the time of Icky Breaky Heart. Do

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you remember that? Yeah? What did the push the did? Yeah?

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It was a line dance. I don't There used to

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be the show on the National Network TNN when it

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was a country station called my grandmother called the White

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Horse Saloon, and they had line dancing with couples every

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every day from three to five how like? So, yes,

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so my grandmother would watch it.

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Speaker 2: Yeah, she loved it was fantastic.

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Speaker 1: I don't know why. I just watch a couple's dance,

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and then she would take note of which guy was

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with which girl, and if he was dancing with a

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different girl, Oh, he must be cheating, or oh he

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must have left that one. They must have had a

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fallen out. Like she had these scenarios in her head.

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She didn't realize they were just professional dancers.

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Speaker 4: Yeah.

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Speaker 2: Right.

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Speaker 1: She was in the seventies and this is after this

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is before Ojeah, right, So she didn't stop to watch

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that oj happened. We forgot all about the White Horse Cafe.

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Speaker 2: A second, what is the tush push dance?

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Speaker 1: It was one of the line dances they did, was

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the tush push. It came out with the Achy Breaky.

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Speaker 3: I did not know.

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Speaker 1: Yeah, this is post to the electric slide.

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Speaker 3: Though, Okay, I did not know.

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Speaker 1: This is when line dance became a thing because the.

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Speaker 2: Toush push I thought was with The Eagles used it

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to help their short yarded success, and I think they

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used it in the Super Bowl war they won forty

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to twenty two over the Chiefs.

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Speaker 1: There was a lot they put. They pushed the they

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pushed the Chiefs pushes around.

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Speaker 2: Yeah, but so they voted. They had a debate at

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the owners meeting. Yeah, and sixteen out of thirty two

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NFL teams supported a proposed ban, led by the Green

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Bay Packers and supported.

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Speaker 3: By one Sean mcnermot.

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Speaker 1: Yeah, he was pretty out of it.

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Speaker 3: Yeah.

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Speaker 2: Safety concerns is what they say in their argument, despite

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limited data available about it.

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Speaker 1: There's limited deat because it's only been around like three years.

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For years, you couldn't push anybody or pull anybody across,

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and then somehow the rule got changed and the Eagles

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and the Bills are taking advantage of it because they

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have two quarterbacks.

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Speaker 3: Well why would you? Okay, so why is Sean against it?

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Speaker 2: Like, here's the thing I thought, is there a chance

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they're going to outlaw because it's not as exciting of

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a play. It's not exciting and it's almost a foregone

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conclusion that you get the first down, So I go there,

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it's gonna go away.

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Speaker 3: So then the Bills.

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Speaker 2: Then the Bills fucked it up.

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Speaker 1: I think more they got it the first time. Yeah,

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you go back and watch the game. They got it

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the first time, but they can't city caught on.

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Speaker 2: So I feel like like once they screwed it up,

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and then I'm like, oh, it's here to stay now

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because it's not one hundred percent all the time and

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it's not an exciting play.

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Speaker 1: It's just not if I want to watch rugby, i'd

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watch rugby.

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Speaker 3: But you know what I mean.

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Speaker 2: So, and I feel like the NFL is ever shifting

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rule book. But I guess that's how you keep the

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game fresh and you keep people interested and they're you know,

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we're talking about it, right, So that's that's the thing.

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But I mean, is it strategy based versus health concerns.

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I'm not really sure.

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Speaker 1: Well, there isn't enough people like have you seen the data?

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Because the media, like you know, they're all about film

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until they have data, and then the data like they're

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supposed to dictate, you're not gonna have dada on it.

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Here's the thing, Sean McDermott I had the question about this.

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I asked some guys from hashtag sports their opinions. I

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actually asked Greg Connors about his two we're talking to

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him a second. But the thought is, the Bills ran

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a very conservative offense considering this year, considering the fact

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that they have shosh Allen now. People thought maybe it's

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because he didn't have any weapons to work with. Uh,

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they'd bring an extra offensive lineman every once in a while.

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Why are they just you know, running the ball for

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Why are they so conservative? And the guys from hashtag said, well,

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here's the thing you gotta remember, Sean McDermott had a

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front row seat to watch in Cam Newton's career, like

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you know, climax and then immediately take a nose dive

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because they would do the same they the Cam new

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right did to right and who does as far as

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his body type. Who does Josh Allen.

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Speaker 2: Get compared to Cam Newton.

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Speaker 1: They don't want to see what happens with Josh all

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who now handed what like a third of a billion

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dollars to right that to happen to him. And so

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when you watch Alan go through this, he does like

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when Sean McDermott talks about his posture and there's a

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radio station west of but Tavia, that was like vicdermam

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made a silly argument, And I'm like, no, he didn't.

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You make the arguments, dumb ass.

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Speaker 5: Look at Alan.

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Speaker 2: Watch the tape.

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Speaker 1: The tape.

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Speaker 3: Why do you get all work up about these guys?

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I know because I know what I'm talking about.

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Speaker 1: Okay, so watch the tape. Watch Josh Allen. Do you

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want your quarterback being treated like a pinata six times

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a freaking game?

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Speaker 3: No, I don't adds up.

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Speaker 1: It's not gonna hurt him right now. It might, but

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it could hurt it could shorten his career.

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Speaker 2: I put something on Facebook and someone wrote, you know,

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should it be out louder? And someone wrote, the NFL

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allows hard hits, turf injuries, and hip drop tackles. Yet

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suddenly a rugby style scrum is where they draw the line.

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Why is this the hill? Some coaches are willing to

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die because it's the quarterback and the most important guy

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in the organization. You really could? I mean, I keep thinking, like,

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just hit your neck the wrong way. It's a head twist.

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I mean to me, that's it.

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Speaker 1: I think McDermott like question is though, is that okay?

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Why run this play? Then that's where I think people

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have an issue with McDermott, and I do too. I

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agree with McDermott, this play needs to go. I don't

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like the play. I hate the play for Allen's sake

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only I hate the play.

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Speaker 3: Maybe he is like, maybe you won't see it at

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all this year.

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Speaker 1: Friend Greg, Yeah, our friend Greg Connors. I said, why

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would McDermott then go back on this? Is it because

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he's being told to? Is it because his own his

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fellow coaches are saying, Sean, we got to get rid

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of this because it's worked out for the Bills like

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ninety five percent of the time. He goes because he

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will do whatever it takes to win regardless.

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Speaker 2: Of the rule.

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Speaker 1: But if he can eliminate the rule, now he doesn't

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have to do it anymore. Which makes a lot of sense.

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The thing is, though, is that Tom Brady used to

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run this play all the time. Five wide receivers, he

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get under center, So now you have to put five

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guys on the five receivers. So now there's only six

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on six, six defensive linemen, five offensive lineman and a quarterback.

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It gets everybody out of the area. And you know

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what Brady's gonna do. He's just gonna go to the left.

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He's gonna go to the right, and nine times out

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of ten he got a first down and he was safe.

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He rarely got hurt other than one time when when

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a guy would after his knee and they changed the rule.

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You can't go after quarterbacks knees anymore. They want to

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protect the quarterback. Why couldn't a McDermott run that play

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because they run the same offense the Patriots.

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Speaker 3: Did or b B.

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Speaker 1: Here's the other thing, here's what Kansas City does. Kan's

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City's running play with Kansas City would run the play

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with When you asked, Kansas City runs the play with

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Travis n with Travis Kelsey. Yes, yes, so they have

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they have the tight end.

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Speaker 2: Who also is worth a lot of buddy, But he's

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a he was a quarterback and college.

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Speaker 1: Yeah, but still, like, I mean, you could practice this

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at home. It's not like you know and work about

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work on it and make it work. Like Dawson Knox.

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What else is Dawson Knox really doing? What is he doing?

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He's getting a ton of money to do what not

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catch footballs? So you might as well put him under

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center or not? You take the staff of that.

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Speaker 3: Well, that's true, that's true.

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Speaker 1: I hear what you're saying, right, So, like, why do

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McDermott if he's against it, why is Josh Allen, you know,

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running his play every time it comes?

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Speaker 3: I just because it works. I think it's it's funny.

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Speaker 2: I do find it to be somewhat of a boring play,

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but I guess in a playoff game, getting the first

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down isn't all.

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Speaker 1: That's bad boring until it gets stopped. Well, right, then

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come the revenue, then cub everybody like child for the defense.

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Speaker 2: And I just thought it was so I thought it

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was going to go.

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Speaker 1: Against the Rams. They they didn't run it well either,

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They got stuffed and then they call the time out

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to cost them the game. So I mean, it's not

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an automatic, no.

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Speaker 3: Well, uh not anymore. It sure seemed like it was.

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Speaker 2: I mean, it really did to me for so long,

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and that's why I thought it'll go away because of

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that more than anything else.

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Speaker 5: Now.

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Speaker 1: I mean, I appreciate mcdermot's reasoning. I appreciate the fact

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that he wants it out because I don't want it

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in football either. For Josh Allen's sake, if we didn't

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have a quarter it. Let's say we had Ryan Fitzpatrick

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and the bill sucked, I wouldn't care. Okay, no offense

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to Ryan Fitzpatrick, but I want to protect my quarterback

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now as far as But the thing is, though, is that, yeah,

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but you could run the play with somebody else, or

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you could run the play that the break you used

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to run that worked like ninety nine times out of

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one hundred. That's where coaching comes in. That's where I

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get frustrated. It's like, you're against this play, but you

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could have run something else. You didn't do it, I know,

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So you put your quarterback in line, not like like

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Greg says, well, they want to win.

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Speaker 3: Is a hypocrisy.

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Speaker 1: I don't know, is that's so much hypocrisy it's just

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idiocy to me, Well, if you're against it, now, why

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were you running it so often?

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Speaker 3: But I think they ran it.

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Speaker 2: And then he's seeing maybe new maybe he's seen that

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it weren't he didn't.

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Speaker 1: But he didn't talk about it unless he wants to

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keep that under wraps. Probably have this proprietary AI that

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they're not.

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Speaker 2: There's something else that he's trying to push through the league.

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And you know it could be could this become like

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the political floor of Hey, Dan, if you vote this

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way on this, I'll back your silly bill, which I

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know sounds ridiculous because it's the NFL and why would

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you do that?

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Speaker 3: But I wonder if there is some aspect of it.

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Speaker 1: So the Packers put the proposal that you can't push

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or pull the player. In other words, I got to

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do it on their own. You could sneak you want,

251
00:11:00,559 --> 00:11:02,840
but you can't get push push to push.

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Speaker 2: And that's what we're talking about, is yeah, and then

253
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the that is you think about that, that is where

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00:11:07,799 --> 00:11:10,559
somebody could really get hurt when someone else is like,

255
00:11:10,600 --> 00:11:15,279
you know, pushing you from the other end. It's lovely, lovely, lovely,

256
00:11:15,320 --> 00:11:18,840
the way that all called the brotherly shove, Yes, Philadelphia,

257
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the brotherly.

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Speaker 1: We called the buffalo.

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Speaker 2: Well, I mean, look, you've got linemen that are legally

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rearranging body organs every Sunday afternoon on people players.

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Speaker 1: Neurology, they call it the prostate.

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Speaker 3: Yes, well they could somebody's head could be right up there.

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Speaker 1: Yeah, you never know.

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Speaker 3: I'm very excited because, uh, well we'll take a break here.

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I know it's a little early from when we normally.

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Speaker 2: Do, but we've had a lot of questions about the

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prostate on the on the yes, we yes, it was

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not just me, it was other people as well. Maybe

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you weren't here, but I think somebody chimed in. Maybe

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it was Laura. I thought Laura prostate. No, she was

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saying something about Kevin's prostates and then I think you

272
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said something about a prostate ones probably yeah, oh do

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I'm worried about all the body parts.

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Speaker 3: Yes, I know.

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Speaker 2: And so there came up some things and then Dan said, hey,

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I have a friend who works as part of a

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urology team. Yes, and I'll see if he can come in.

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So I'd like to keep this as somewhat academic as

279
00:12:27,080 --> 00:12:30,759
possible without to because it is the procept. Yeah, we

280
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don't want to like well, We've heard of ways of

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keeping the prostate healthy. Yes, right, which is you know,

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it's almost like you got to clean it out.

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Speaker 1: Yeah. We don't want to turn this to turn into

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like an immature sophomore.

285
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Speaker 5: Oh, I don't know.

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Speaker 2: We want to have fun. I mean, but this is.

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Speaker 1: A something guy I don't like to talk about. People

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don't like to talk.

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Speaker 3: I think there's things like a rectile. It's fine.

290
00:12:50,519 --> 00:12:54,399
Speaker 2: I will tell you this. My grandfather, uh, died of

291
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colon cancer. And I know it's slightly different, but to

292
00:12:59,000 --> 00:13:01,000
check the prostate had to go the same way as

293
00:13:01,320 --> 00:13:05,200
the colonoscary, and he died of it because at sixty

294
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nine years old, primarily because he was too proud to

295
00:13:09,200 --> 00:13:12,600
have someone you know, visit his anus.

296
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Speaker 1: So my father died a colon cancer. But he went

297
00:13:17,159 --> 00:13:19,279
and got checked. The problem was the second time he

298
00:13:19,279 --> 00:13:21,919
got a colonoscopy. It's not like it is today where

299
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they put you out and all this other stuff. You

300
00:13:24,519 --> 00:13:27,320
were awake and it was awful, and he was like, okay,

301
00:13:27,399 --> 00:13:30,120
never again any way, too long, and he passed away.

302
00:13:30,159 --> 00:13:33,080
I know, Vince Lombardi died of prostate cancer for the

303
00:13:33,120 --> 00:13:34,440
same reason as your grandfather did.

304
00:13:34,519 --> 00:13:35,639
Speaker 3: Yeah, I'm pretty.

305
00:13:35,360 --> 00:13:37,320
Speaker 2: Sure he didn't want to get a story because then

306
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I had heard that there was like blood and stuff

307
00:13:39,639 --> 00:13:42,879
and coming out and is one have bowel movements? And

308
00:13:43,960 --> 00:13:46,720
then I think also the prostate had not been checked

309
00:13:48,000 --> 00:13:51,919
whatever point being, let's not be too proud to have this.

310
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And now, I mean there's been many people who have

311
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even had the prostate and I didn't put this on

312
00:13:57,320 --> 00:14:00,320
the list of questions, but had it removed and what

313
00:14:00,919 --> 00:14:05,399
Joe both had right because of cancer? And I was

314
00:14:05,399 --> 00:14:10,759
told by my doctor, if nothing else gets you, prostate

315
00:14:10,799 --> 00:14:13,360
cancer will like if you live long enough, you're gonna

316
00:14:13,360 --> 00:14:13,960
get it.

317
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Speaker 1: Moses, is it years old?

318
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Speaker 3: Amazing?

319
00:14:18,639 --> 00:14:20,759
Speaker 1: Yeah? Yeah, it's in Deuteronomy.

320
00:14:20,960 --> 00:14:24,240
Speaker 3: Huh. It was his burning bush that was going on there.

321
00:14:24,440 --> 00:14:26,000
Speaker 2: All right, So we will take a moment and we

322
00:14:26,039 --> 00:14:28,399
will talk to uh do we do just first name,

323
00:14:28,480 --> 00:14:32,799
first and last name? Is there any ANONYMO non nimity

324
00:14:33,559 --> 00:14:38,000
anonymity and a minimout of all right? All right, we

325
00:14:38,039 --> 00:14:42,120
will get to uh that right after this bTB wood Fire,

326
00:14:42,200 --> 00:14:45,200
Pizza and Grill and the Mall at Grease Ridge. Matt

327
00:14:45,200 --> 00:14:48,039
Reese was in here earlier this week from bTB and

328
00:14:48,200 --> 00:14:52,559
never mentioned that it's their fourth anniversary. Always humble, always humble,

329
00:14:52,679 --> 00:14:54,480
But I mean, what a cool accomplishment.

330
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Speaker 3: And get out there.

331
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Speaker 1: God, the portions of things are so big, and all the.

332
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Speaker 2: Food is delicious. I'm telling you, you have some of

333
00:15:02,600 --> 00:15:05,559
this food, You're gonna be bringing it home and heating

334
00:15:05,600 --> 00:15:08,480
it up for a day or two, and it's so good.

335
00:15:09,039 --> 00:15:13,720
I have been so impressed with what bTB does. And

336
00:15:13,799 --> 00:15:15,679
here's the thing. They got a new menu out there.

337
00:15:15,720 --> 00:15:19,039
It's packed with mouth watering entrees that'll tantalize your taste Budgs.

338
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They got everything from sizzling wood fired pizzas to hearty

339
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Italian dishes. There is really something for everyone on the

340
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menu and final four catch every slam dunkin buzzer beater.

341
00:15:31,200 --> 00:15:35,159
They got over fifty TVs strategically placed throughout the restaurant.

342
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There is not a bad seat in the house. And

343
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I want to remind you they have the longest happy

344
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hour Monday through Saturday, eleven am to six pm. Unbeatable deals.

345
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You got like three dollars tall domestic drafts, five dollar

346
00:15:48,080 --> 00:15:53,440
Tito's House wines. Make bTB your go to spot this

347
00:15:53,519 --> 00:15:57,720
week and every week for delicious food, great basketball, and

348
00:15:57,799 --> 00:16:01,639
a festive fun atmosphere. Make their anniversary. You just say

349
00:16:01,679 --> 00:16:03,879
happy anniversary, and they probably can't keep it low key.

350
00:16:03,919 --> 00:16:06,799
I think maybe not. I don't know. He never mentioned

351
00:16:06,799 --> 00:16:10,320
it four years. I think that's an accomplishment. bTB would

352
00:16:10,360 --> 00:16:13,080
fire pizza and grill in the mall at Greece Rich.

353
00:16:14,960 --> 00:16:26,320
Speaker 4: Not a quarter to three. Yes, I woke up this morning.

354
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It was about a quarter of the three. I woke

355
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up because I had to.

356
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Speaker 1: Be happen to be in a smart too.

357
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Speaker 6: Sure that's right, buddy, prostate blues, stay right, just say right.

358
00:17:02,240 --> 00:17:07,119
So I believe it came up and talk about masturbation

359
00:17:07,279 --> 00:17:12,720
and keeping your prostate healthy how many times and clinically speaking,

360
00:17:12,839 --> 00:17:19,480
you need to ejaculate to keep your prostate healthy. So

361
00:17:19,599 --> 00:17:23,839
that's where I think the original impetus of getting somebody

362
00:17:23,960 --> 00:17:28,400
who has some scientific knowledge about this would come in.

363
00:17:28,680 --> 00:17:31,880
And Dan had I forgot he was in your band.

364
00:17:32,200 --> 00:17:34,279
You said the original Diggler's Bridge.

365
00:17:34,559 --> 00:17:36,519
Speaker 2: Was he there at East End when you were the

366
00:17:36,519 --> 00:17:39,279
big rock star and we took that picture. Oh he's not, okay,

367
00:17:39,359 --> 00:17:45,000
but the original, the original, the four to eight version, okay, yeah,

368
00:17:45,039 --> 00:17:47,359
And we didn't come around as a break room until eight.

369
00:17:47,920 --> 00:17:49,480
That was when we started. Maybe it might have been

370
00:17:49,480 --> 00:17:49,920
on nine.

371
00:17:50,000 --> 00:17:54,039
Speaker 3: No, yeah, that's right. And Dan Barney, So.

372
00:17:54,119 --> 00:18:00,400
Speaker 2: Dan, you are a physician's assistant in a urology office.

373
00:18:00,319 --> 00:18:05,279
Speaker 5: Correct, Yeah, with the University of Rochester, primarily outpatient urology,

374
00:18:05,359 --> 00:18:08,640
so seeing patients and clinic pretty much five days a week.

375
00:18:09,039 --> 00:18:12,160
And I've been in neurology actually since two thousand and six.

376
00:18:12,480 --> 00:18:12,640
Speaker 3: OK.

377
00:18:13,240 --> 00:18:16,559
Speaker 5: So that was my kind of second second. Yeah, it's

378
00:18:16,319 --> 00:18:17,799
more than I can even.

379
00:18:19,160 --> 00:18:25,680
Speaker 2: The event, Well, see that Danny, Danny to see Danny

380
00:18:25,799 --> 00:18:27,599
just turned a nice shade of red.

381
00:18:28,039 --> 00:18:29,559
Speaker 3: I just I had to throw it in there.

382
00:18:30,640 --> 00:18:35,359
Speaker 2: Well here, so as the physicians assisted, I always go,

383
00:18:36,440 --> 00:18:41,039
why not become the full guy? You're doing everything. You

384
00:18:41,119 --> 00:18:42,599
probably have as much knowledge.

385
00:18:42,799 --> 00:18:45,200
Speaker 5: It's I mean, no, I mean we we work with

386
00:18:45,200 --> 00:18:48,559
some extraordinary doctors and they some of the smartest people

387
00:18:48,599 --> 00:18:51,279
I know. And you know, it just kind of started

388
00:18:51,279 --> 00:18:53,480
out where you know this is you know, back in

389
00:18:53,559 --> 00:18:57,759
high school in the mid mid mid to latesh nineties,

390
00:18:58,079 --> 00:19:00,480
I had an aunt who was a physicist system and

391
00:19:01,240 --> 00:19:03,880
I was like, wow, can you stitch people up? And

392
00:19:04,599 --> 00:19:07,319
you know, putting casts and you know all that stuff.

393
00:19:07,319 --> 00:19:08,839
And she's like yeah, I'm like all right, cool, that's

394
00:19:08,839 --> 00:19:12,039
what I'll do. And then it just everything kind of

395
00:19:12,039 --> 00:19:14,599
fell into place. And you know, got into ri T

396
00:19:14,799 --> 00:19:16,400
right out of high school because.

397
00:19:16,200 --> 00:19:19,319
Speaker 3: I would think like, if you're a doctor, you got

398
00:19:19,680 --> 00:19:20,279
into ri I.

399
00:19:20,359 --> 00:19:22,839
Speaker 5: T into rit Yeah, their PA program.

400
00:19:22,640 --> 00:19:25,000
Speaker 2: Their PA program. Yeah, I know somebody else who did

401
00:19:25,039 --> 00:19:28,559
their pay program. But I'm thinking like, you're a doctor,

402
00:19:29,279 --> 00:19:33,240
and well, let's see you're dermatologists. And somebody goes, hey,

403
00:19:33,759 --> 00:19:36,279
you got a minute. Yeah I had a cocktail party.

404
00:19:36,359 --> 00:19:40,000
Speaker 3: Take a look at this thing. Have you ever had

405
00:19:40,039 --> 00:19:40,759
somebody to get.

406
00:19:40,599 --> 00:19:43,279
Speaker 2: A hey, A lot of things have changed in my

407
00:19:43,319 --> 00:19:44,759
body here and I'm paying a lot.

408
00:19:44,799 --> 00:19:46,279
Speaker 3: Do they say that to you? Sure?

409
00:19:46,519 --> 00:19:49,559
Speaker 5: They do certain things, like you know, I think maybe

410
00:19:49,680 --> 00:19:51,519
you know, the prostate you know, comes up a little

411
00:19:51,519 --> 00:19:53,000
bit more often or well it's a.

412
00:19:53,000 --> 00:19:55,640
Speaker 2: Little more people are more willing to talk.

413
00:19:55,400 --> 00:19:57,680
Speaker 5: About it, right, Yeah, And that's you know, that's the

414
00:19:57,720 --> 00:20:01,880
segue into other things. You know, I get questions on

415
00:20:02,000 --> 00:20:05,039
kidney stones and you know, random things bladder. You know,

416
00:20:05,079 --> 00:20:07,240
it's all a part of eurology. But I just kind

417
00:20:07,279 --> 00:20:11,160
of somehow migrated towards the you know, men's health or

418
00:20:11,200 --> 00:20:14,559
sexual medicine aspect of it. Okay, you don't go to

419
00:20:14,599 --> 00:20:17,480
school just to do that. It was kind of you know,

420
00:20:17,920 --> 00:20:21,279
got into urology and noticed that, you know, hey, I

421
00:20:21,720 --> 00:20:24,200
more of these patients are coming back to see me, right,

422
00:20:24,279 --> 00:20:27,240
and you know, kind of word of mouth and just

423
00:20:27,359 --> 00:20:29,640
all of a sudden, it becomes a primary part of

424
00:20:29,640 --> 00:20:32,559
your practice without even you know, necessarily setting out that

425
00:20:32,599 --> 00:20:33,319
goal at the beginning.

426
00:20:33,480 --> 00:20:35,680
Speaker 1: Gotcha, ay you talk about starting your own YouTube channel.

427
00:20:36,839 --> 00:20:37,960
Speaker 5: But let's see how today goes.

428
00:20:40,000 --> 00:20:42,680
Speaker 3: So there's been a lot of talk.

429
00:20:42,720 --> 00:20:48,400
Speaker 2: We did talk about how frequent ejaculation, whether through sex

430
00:20:48,519 --> 00:20:52,640
or masturbation, helps the prostate or how much is is

431
00:20:52,720 --> 00:20:57,960
there that optimal frequency base? And it should it be

432
00:20:58,000 --> 00:21:00,880
based on age? Is it based on one ever? And

433
00:21:01,000 --> 00:21:03,319
does too much or too little increase the risk of

434
00:21:03,359 --> 00:21:08,720
prostate issues. I will put a little story in here

435
00:21:08,759 --> 00:21:13,039
with the fact that I was like hyper horning when

436
00:21:13,039 --> 00:21:15,079
I was in my twenties, and I think if I

437
00:21:15,200 --> 00:21:18,720
wasn't having sex, so I was probably pounding something right.

438
00:21:19,039 --> 00:21:22,880
Speaker 3: And I would get I would. I had a prostate infection.

439
00:21:22,759 --> 00:21:26,000
Speaker 2: In my early twenties and I had to have it

440
00:21:26,079 --> 00:21:28,240
checked several times, and it would be like, you know,

441
00:21:28,279 --> 00:21:30,680
it almost feel hot, Like I could feel it hot,

442
00:21:30,839 --> 00:21:34,079
and I think it was just overuse. Because I was

443
00:21:34,119 --> 00:21:35,839
told at the time a lot of young guys get this.

444
00:21:36,400 --> 00:21:38,960
I was like, I didn't know any young guys I

445
00:21:39,039 --> 00:21:39,440
got it.

446
00:21:40,759 --> 00:21:43,839
Speaker 5: They're kind of be Yeah, there's you know, certainly, the

447
00:21:43,880 --> 00:21:46,799
more activity going down there, you know, can can increase

448
00:21:46,880 --> 00:21:50,160
risk of certain things. There's you know, statistically, when you

449
00:21:50,160 --> 00:21:52,119
look at a prostatitis, right, we all think of it

450
00:21:52,160 --> 00:21:56,079
as a bacterial infection, but you know, only twenty percent

451
00:21:56,119 --> 00:22:00,640
of cases of prostatitis are actually from bacteria. You know,

452
00:22:00,880 --> 00:22:03,079
lots of you know, it can certainly be that and

453
00:22:03,240 --> 00:22:07,359
tends to come with more urinary symptoms, burning, urgency, frequency,

454
00:22:07,480 --> 00:22:10,319
slow deer and streams. Sometimes if it's really a bacterial infection,

455
00:22:10,400 --> 00:22:12,480
people can feel like they have the flu, like they

456
00:22:12,480 --> 00:22:16,079
feel sick, run down, you know, in a long antibiotic

457
00:22:16,119 --> 00:22:18,000
course is really the only thing that gets you out

458
00:22:18,000 --> 00:22:21,480
of that. Eighty percent of those cases, though, are are

459
00:22:21,720 --> 00:22:26,720
not bacterial related, and that can be from local reactions, inflammation,

460
00:22:28,119 --> 00:22:31,680
hyperactivity of the pelvic floor. You know, certainly, when you

461
00:22:31,680 --> 00:22:33,759
know people are taking matters into their own hands, there

462
00:22:33,759 --> 00:22:36,519
can be you know, some tension in the lower.

463
00:22:36,480 --> 00:22:39,519
Speaker 2: The best way to say that I have ever heard

464
00:22:39,519 --> 00:22:43,559
of that was that was poetic? Yeah, that was poetic.

465
00:22:43,880 --> 00:22:45,440
Speaker 5: There's a you know, there can be tension in the

466
00:22:45,440 --> 00:22:48,799
pelvic floor. Muscles can get tight and that can actually

467
00:22:49,000 --> 00:22:53,039
you know inhibit you know, good blood flow. It can

468
00:22:53,400 --> 00:22:56,559
impinge nerves that go into that area and you know,

469
00:22:56,640 --> 00:23:00,920
pelvic floor dysfunction, hypertonicity. That can cause you know, symptoms

470
00:23:00,920 --> 00:23:02,440
that mimic prostatitis.

471
00:23:02,880 --> 00:23:05,480
Speaker 2: Okay, and can it when you say mimic, can it

472
00:23:05,519 --> 00:23:07,359
also will you have a.

473
00:23:07,319 --> 00:23:09,319
Speaker 3: Swelling of the prostate discomfort? Yeah?

474
00:23:09,720 --> 00:23:11,960
Speaker 5: Yeah, and the prostate tends not to get swollen in

475
00:23:11,960 --> 00:23:15,000
that situation. But okay, you know there's there's ways we

476
00:23:15,079 --> 00:23:16,960
have to to find that out.

477
00:23:17,480 --> 00:23:19,279
Speaker 3: Yes, what you alluded to earlier.

478
00:23:19,039 --> 00:23:21,319
Speaker 2: Right, well, it is I mean I think is that

479
00:23:21,359 --> 00:23:24,039
the only way to check the prostate in general?

480
00:23:24,160 --> 00:23:27,079
Speaker 5: Yeah? An educated finger and yeah, yeah, a blood test.

481
00:23:27,160 --> 00:23:31,799
Speaker 2: You know the PSA are they not doing the finger

482
00:23:32,839 --> 00:23:35,039
upon physical anymore unless you.

483
00:23:36,559 --> 00:23:38,400
Speaker 3: I don't know what it would be like have a

484
00:23:38,480 --> 00:23:39,200
history or.

485
00:23:39,440 --> 00:23:41,960
Speaker 5: Right, It's interesting there's you know, there's all sorts of

486
00:23:42,039 --> 00:23:45,559
you know, research that comes out that's four rectal exams,

487
00:23:45,599 --> 00:23:48,519
you know, arguing against prostate exams, Like what are we

488
00:23:48,559 --> 00:23:52,079
are we actually you know, saving lives doing this. And

489
00:23:52,680 --> 00:23:54,680
you know, every so often things come out as well

490
00:23:54,720 --> 00:23:58,279
about getting a p SA check the blood test back.

491
00:23:58,319 --> 00:24:01,319
I think it was in twenty twelve. Uh, it's the

492
00:24:01,480 --> 00:24:07,200
US Presentative Services Task Force recommended against routine prostay cancer screening.

493
00:24:07,319 --> 00:24:09,640
And there's actually a study that came out very recently

494
00:24:10,039 --> 00:24:13,640
that California especially has been seeing a significant increase in

495
00:24:13,839 --> 00:24:17,240
prostate cancer since around then, when previous to that there

496
00:24:17,319 --> 00:24:20,759
was actually a stagnation or a decline. Wow, so they

497
00:24:20,839 --> 00:24:24,720
stopped really you know, being proactive in screening men for that,

498
00:24:24,839 --> 00:24:28,279
and they're actually finding prostate cancer in more advanced stages now.

499
00:24:29,319 --> 00:24:32,359
And in my opinion, it's you know, there's there's really

500
00:24:32,400 --> 00:24:35,440
only you know, a couple of good ways of screening

501
00:24:35,440 --> 00:24:39,119
for prostate cancer, and you know that includes the p S,

502
00:24:39,160 --> 00:24:42,880
a blood test and you know, yes, a a prostate exam.

503
00:24:43,200 --> 00:24:44,480
Speaker 3: What is go ahead?

504
00:24:44,640 --> 00:24:46,920
Speaker 1: Didn't you when you were with wisa's show, didn't you

505
00:24:47,039 --> 00:24:49,640
Tommy and Weize and everybody all get prostate exams on

506
00:24:49,720 --> 00:24:50,000
the air.

507
00:24:50,200 --> 00:24:52,319
Speaker 2: Yes, thank you for reminding me of that painful moment.

508
00:24:53,000 --> 00:24:54,440
Speaker 1: But you made it sound like it wasn't that big

509
00:24:54,440 --> 00:24:54,799
a deal.

510
00:24:54,920 --> 00:24:57,440
Speaker 2: Well, because I had had several by that point, Uh,

511
00:24:58,079 --> 00:25:01,160
because I did. When I was younger, I went a lot,

512
00:25:01,200 --> 00:25:05,680
and I remember my doctor saying to me, uh, yeah,

513
00:25:05,759 --> 00:25:07,599
a lot of young guys, you just take this. But

514
00:25:07,640 --> 00:25:09,680
I would get them like I had. It felt like

515
00:25:09,720 --> 00:25:11,920
it never went away sometimes and sometimes I would get

516
00:25:11,920 --> 00:25:14,599
fevers and I can kind of tell what it was.

517
00:25:14,720 --> 00:25:18,200
I think one could this be because somebody was I

518
00:25:18,279 --> 00:25:20,680
did get a kidney infection where I was like peen

519
00:25:20,799 --> 00:25:25,200
blood at one point, and I was in such pain

520
00:25:25,240 --> 00:25:27,880
that I like I practically collapsed. I didn't realize how

521
00:25:28,160 --> 00:25:32,160
painful that could be. And uh, somebody's like, well, what

522
00:25:32,200 --> 00:25:34,720
did what? How did you get something in there? Because

523
00:25:34,759 --> 00:25:37,240
it that I was told is like really rare for

524
00:25:37,319 --> 00:25:39,240
men to get a kidney infection in general.

525
00:25:39,359 --> 00:25:42,480
Speaker 5: Yeah, it's it's it's it's surprising it doesn't happen more

526
00:25:42,519 --> 00:25:45,200
often just because that's you know, it's it's an area

527
00:25:45,279 --> 00:25:49,519
that is just littered with bacteria, viruses, and there's a

528
00:25:49,559 --> 00:25:52,519
hole down there, Bacteria go up you know, and you know,

529
00:25:52,599 --> 00:25:55,240
if a if an infection goes on too long, it

530
00:25:55,279 --> 00:25:58,000
can keep essentially just going upstream, you know. And and

531
00:25:58,079 --> 00:26:01,359
if you know you don't have munch on water intake.

532
00:26:01,720 --> 00:26:04,000
Your system's not flushing itself out, and it, you know,

533
00:26:04,079 --> 00:26:05,640
makes it easier to develop that.

534
00:26:05,599 --> 00:26:08,480
Speaker 3: Sort Oh yeah, so do you so? Okay?

535
00:26:08,680 --> 00:26:10,440
Speaker 2: What you know, What I was just thinking as you

536
00:26:10,480 --> 00:26:14,559
were talking previously, is what is the function of the prostate.

537
00:26:14,720 --> 00:26:17,400
I don't know that most people really understand it. It's

538
00:26:17,400 --> 00:26:19,799
a gland, right, That's it's sort.

539
00:26:19,599 --> 00:26:22,880
Speaker 5: Of land, and essentially it makes semen, yeah, to mix

540
00:26:22,920 --> 00:26:26,119
with sperm and appro create. That's it's about it.

541
00:26:26,319 --> 00:26:29,839
Speaker 2: That's about it, and I would when men have had

542
00:26:29,839 --> 00:26:34,279
this room, but does it also play into any part

543
00:26:34,279 --> 00:26:35,519
of a rectile dysfunction?

544
00:26:36,200 --> 00:26:38,480
Speaker 5: It can sometimes it can't get in the way of

545
00:26:38,559 --> 00:26:41,119
you know, blood flow, nerve function, but it's it's not

546
00:26:41,200 --> 00:26:44,440
the most common reason why men end up with that issue.

547
00:26:44,119 --> 00:26:48,680
Speaker 2: Right, So what when men have had and there's a

548
00:26:48,720 --> 00:26:51,480
few guys that I know who have had their prostate removed,

549
00:26:53,200 --> 00:26:56,079
and there's a whole procedure. I think doctor Drew at

550
00:26:56,079 --> 00:26:59,079
one point was talking he had his taken out and

551
00:26:59,119 --> 00:27:03,240
what a process it was healing from that and coming

552
00:27:04,440 --> 00:27:07,079
I guess getting all kinds of function. I would assume

553
00:27:07,519 --> 00:27:09,799
is it because of you're cutting the muscles or is

554
00:27:09,839 --> 00:27:10,920
there some kind of connection.

555
00:27:11,400 --> 00:27:12,759
Speaker 3: Does it affect your sex life?

556
00:27:12,920 --> 00:27:16,279
Speaker 5: Yeah for sure. Yeah, there's there's a neurovascular bundle that goes,

557
00:27:16,359 --> 00:27:19,200
you know, right around the prostate, very close to it,

558
00:27:19,319 --> 00:27:22,039
and they have to move those things out of the

559
00:27:22,079 --> 00:27:25,759
way in order to take the prostate. You know, there's

560
00:27:25,839 --> 00:27:29,640
there's been the more of a focus on you know,

561
00:27:29,720 --> 00:27:32,319
certain surgeons trying to do what it's called nerves sparing

562
00:27:32,559 --> 00:27:36,839
you know, uh, procedures where you try to you know,

563
00:27:37,000 --> 00:27:39,680
have the least amount of effect on the nerves as possible.

564
00:27:40,160 --> 00:27:41,920
You know, if you if you cut the nerves, that

565
00:27:42,079 --> 00:27:45,359
just basically you know, blocks the signal from you know,

566
00:27:45,480 --> 00:27:48,160
your brain down to the penail arteries to say, hey

567
00:27:48,240 --> 00:27:51,759
let's let's get an erection. But those nerves are very

568
00:27:51,799 --> 00:27:54,240
sensitive to like even if if you have a surgeon

569
00:27:54,279 --> 00:27:58,839
who tries to spare those nerves, they get injured by

570
00:27:58,920 --> 00:28:01,240
even just traction, you know, moving them out of the way,

571
00:28:01,799 --> 00:28:04,200
thermal injury, you know, from the cautery they have to

572
00:28:04,279 --> 00:28:07,079
use to do. Yeah, well they got like procedure. Yeah,

573
00:28:07,160 --> 00:28:07,799
so you've been.

574
00:28:07,680 --> 00:28:10,359
Speaker 2: Bleeding down because there's a lot of probably tiny blood vessels.

575
00:28:10,319 --> 00:28:14,039
Speaker 5: They just i it. Yeah, people used to bleed a

576
00:28:14,039 --> 00:28:16,480
lot in the open procedures they used to do for

577
00:28:16,599 --> 00:28:19,799
that was a relatively high blood loss surgery until the

578
00:28:19,880 --> 00:28:22,039
Da Vinci robot you know, came about and they started

579
00:28:22,039 --> 00:28:24,839
perfecting those techniques, uh, taking out the prostate you know

580
00:28:24,880 --> 00:28:26,680
from more of a laparoscopic technique.

581
00:28:26,799 --> 00:28:27,039
Speaker 2: Yeah.

582
00:28:27,119 --> 00:28:28,519
Speaker 1: See, the robots are taking our jobs.

583
00:28:28,559 --> 00:28:31,759
Speaker 3: Billy good. It sounds like it was good. It's a

584
00:28:31,799 --> 00:28:32,880
steadier hand.

585
00:28:32,839 --> 00:28:34,720
Speaker 5: And it's it's gotten a lot better when I was

586
00:28:35,000 --> 00:28:37,559
when I first got into urology in six that was

587
00:28:37,599 --> 00:28:40,440
kind of really when you know, the DIVINCHI started taking

588
00:28:40,440 --> 00:28:43,759
hold and you know, people who I used to see

589
00:28:43,880 --> 00:28:48,440
post operatively then compared to now, patients are doing much

590
00:28:48,480 --> 00:28:53,160
better now, they're they're regaining continents much quicker. A rectile

591
00:28:53,160 --> 00:28:56,720
function it's lagging behind a little bit. But again, at

592
00:28:56,720 --> 00:28:57,880
the end of the day, if if you have a

593
00:28:57,880 --> 00:29:00,960
prospect that needs to be removed, the 's number one

594
00:29:01,000 --> 00:29:03,920
priority is you know, make sure that cancer's out of

595
00:29:03,960 --> 00:29:04,640
there and it's not.

596
00:29:04,599 --> 00:29:07,119
Speaker 1: Going back, right, Yeah, that's the important thing.

597
00:29:07,200 --> 00:29:12,039
Speaker 2: Is it similar to a woman's hysterectomy type thing or

598
00:29:12,079 --> 00:29:15,440
am I only in that it's sexual function?

599
00:29:15,599 --> 00:29:15,799
Speaker 5: Right?

600
00:29:16,119 --> 00:29:17,440
Speaker 3: Cancer in that area.

601
00:29:17,200 --> 00:29:20,480
Speaker 5: Right, Yeah, there's you know, from from a physical standpoint,

602
00:29:20,480 --> 00:29:22,759
there's a there's quite a bit more collateral damage when

603
00:29:22,799 --> 00:29:25,759
you when you take out the prostate, you know, you're Yeah,

604
00:29:25,799 --> 00:29:28,519
your urine goes right through the middle of the prostate.

605
00:29:28,680 --> 00:29:30,440
You know, I tell patients all the time, I mean,

606
00:29:30,720 --> 00:29:31,480
think about.

607
00:29:31,240 --> 00:29:32,559
Speaker 1: Your Yeah, it's like the red Sea.

608
00:29:33,440 --> 00:29:34,160
Speaker 3: I didn't know that.

609
00:29:34,240 --> 00:29:36,279
Speaker 5: Yeah, you think about your prostate a being like an

610
00:29:36,279 --> 00:29:39,079
apple that has been cored. Right, you can see right

611
00:29:39,200 --> 00:29:42,039
right through the middle of right, and that's that's right

612
00:29:42,160 --> 00:29:44,880
underneath your bladder. And when you pee, the urine goes

613
00:29:45,000 --> 00:29:46,799
right through the prostate's part of the prostate.

614
00:29:46,880 --> 00:29:48,960
Speaker 1: It's like those aquariums where you walk underneath you see

615
00:29:49,000 --> 00:29:49,480
all the fish.

616
00:29:49,599 --> 00:29:49,920
Speaker 3: Yeah.

617
00:29:49,920 --> 00:29:52,640
Speaker 2: So if your prostate is swollen in the you can

618
00:29:52,720 --> 00:29:58,559
that's where the song somewhat jokingly saying it's three fifteen

619
00:29:58,640 --> 00:30:00,119
or it's a quarter to three in the morning, I

620
00:30:00,160 --> 00:30:03,200
have to get up and pee r H. Frequent urination

621
00:30:03,440 --> 00:30:07,240
is usually a sign of an enlarged prostate.

622
00:30:07,000 --> 00:30:08,519
Speaker 5: And large procect most of the time.

623
00:30:08,559 --> 00:30:10,720
Speaker 3: Yet why is that? Because it's pushing on the bladder.

624
00:30:10,880 --> 00:30:12,960
Speaker 5: It it well, it can imprint on the bladder. It

625
00:30:12,960 --> 00:30:16,240
can also you know, and talking about the apple. Pretend

626
00:30:16,279 --> 00:30:18,119
like that apple all of a sudden starts growing in

627
00:30:18,160 --> 00:30:20,400
on itself, that course, starts growing in on itself. So

628
00:30:20,440 --> 00:30:23,759
where he had this nice you know, paytent space for

629
00:30:23,839 --> 00:30:26,440
the year and to go through. Now it's not so

630
00:30:26,720 --> 00:30:30,480
it it takes longer to empty. And your bladder sometimes

631
00:30:30,519 --> 00:30:33,880
can only squeeze so much for so long, and you

632
00:30:33,920 --> 00:30:36,559
think you're empty, but there can be several ounces left

633
00:30:36,559 --> 00:30:39,119
in the bladder. So you're starting with you know, the

634
00:30:39,240 --> 00:30:41,559
third or half of the tank, and it, you know,

635
00:30:41,640 --> 00:30:43,880
can keep waking you up. So those are the guys

636
00:30:43,880 --> 00:30:45,240
that are in the you know, you go into the

637
00:30:45,240 --> 00:30:47,680
men's room, you know, the urinal. You go in there

638
00:30:47,680 --> 00:30:50,000
and you do your thing, you see, and you're next

639
00:30:50,039 --> 00:30:53,319
to the guy and how doing And you leave and

640
00:30:53,599 --> 00:30:56,200
he's still peeing. Yeah, you wash your hands, you're leaving

641
00:30:56,200 --> 00:30:59,119
and he's still in there, you know, huff and puffing.

642
00:30:59,279 --> 00:31:01,160
You know. Those those the guys that have have, you

643
00:31:01,200 --> 00:31:03,319
know a lot of prostate issues.

644
00:31:03,680 --> 00:31:03,839
Speaker 2: Ugh.

645
00:31:04,759 --> 00:31:06,359
Speaker 3: Have you ever turned to a guy and going, you

646
00:31:06,359 --> 00:31:07,279
know what, here's my card.

647
00:31:07,359 --> 00:31:10,640
Speaker 5: Now I've thought of it before, like, hey, you know.

648
00:31:10,599 --> 00:31:12,720
Speaker 3: I think it can help you out with this. It

649
00:31:12,799 --> 00:31:14,319
seems like there's a lot of discovery.

650
00:31:14,839 --> 00:31:19,000
Speaker 2: But back to the masturbation, is there truth to that

651
00:31:19,000 --> 00:31:24,200
that not man but sex or masturbation ejaculation is healthy

652
00:31:24,759 --> 00:31:27,440
for the prostate And is there sort of a balance

653
00:31:27,480 --> 00:31:31,440
like I think they were we read somewhere three times

654
00:31:31,839 --> 00:31:34,279
a week. I don't know if that's true enough.

655
00:31:34,319 --> 00:31:36,559
Speaker 5: And yeah, and this is something they've been looking into

656
00:31:36,640 --> 00:31:38,480
since like you know, I think the mid eighties, and

657
00:31:38,519 --> 00:31:41,559
then every you know, five ten years, another study comes out,

658
00:31:41,200 --> 00:31:44,599
and what it seems to be is they've they've been

659
00:31:44,640 --> 00:31:48,160
able to stratify that there's an amount of about twenty

660
00:31:48,200 --> 00:31:52,279
one times per month seems to be the you know,

661
00:31:52,319 --> 00:31:54,799
the threshold where if you're at that or over there

662
00:31:54,799 --> 00:31:58,799
seems to be a reduced risk of incidents of prostate cancer.

663
00:31:59,559 --> 00:32:02,240
And there's certainly more of an increased incidence for those

664
00:32:02,279 --> 00:32:05,440
who are at the four to seven times per.

665
00:32:05,279 --> 00:32:08,160
Speaker 1: Month starting window, like like at young ages or like

666
00:32:08,200 --> 00:32:09,039
throughout your time.

667
00:32:09,079 --> 00:32:11,160
Speaker 5: They start looking at, you know, people in their twenties

668
00:32:11,160 --> 00:32:13,960
and beyond. You know, they're trying to track these people

669
00:32:14,960 --> 00:32:17,119
through a long period of time, and they they go

670
00:32:17,200 --> 00:32:19,400
back and you know, there'll be people in surveys, you know,

671
00:32:19,440 --> 00:32:21,839
and they get questions and then every couple of years

672
00:32:21,839 --> 00:32:24,000
they send out the questions again, you know, just to

673
00:32:24,359 --> 00:32:24,680
track them.

674
00:32:24,680 --> 00:32:26,319
Speaker 1: Because there is a movement right now you've heard if

675
00:32:26,319 --> 00:32:28,680
you've heard of doctor Jordan Peterson, a doctor Andre Huberman

676
00:32:29,200 --> 00:32:31,759
and others, they are they have like joined this what

677
00:32:31,799 --> 00:32:34,720
they call it no FAP movement, right, which is an

678
00:32:34,720 --> 00:32:39,559
anti exacerbation movement, where like because it has nothing to

679
00:32:39,599 --> 00:32:42,920
do with the prostate, it's the idea of your dopamine

680
00:32:43,000 --> 00:32:45,680
levels and your psychology that you're getting used to the

681
00:32:45,720 --> 00:32:47,759
same climax, that nothing could top that. So you're going

682
00:32:47,799 --> 00:32:50,759
to go and get crazier and crazier to try to

683
00:32:50,839 --> 00:32:54,720
overcome that dopamine hit that you get from an orgasm

684
00:32:55,079 --> 00:32:57,839
if you're watching pornography and doing that all the time, right,

685
00:32:57,880 --> 00:32:59,799
And their whole thing is, don't do it, just have

686
00:33:00,079 --> 00:33:03,240
regular sex. But a lot of people you need someone

687
00:33:03,240 --> 00:33:05,400
to do that with. And if they don't have that,

688
00:33:05,839 --> 00:33:09,799
their recommendation will don't do anything, but it'll raise your testosterone.

689
00:33:09,799 --> 00:33:11,799
There's other so there's like a trade off to it.

690
00:33:11,839 --> 00:33:12,640
Does that make sense?

691
00:33:13,279 --> 00:33:15,559
Speaker 5: There is a little bit, you know, and there's you know,

692
00:33:15,680 --> 00:33:17,279
certainly you know there's.

693
00:33:17,079 --> 00:33:18,359
Speaker 1: There's a double edged sword for that.

694
00:33:18,480 --> 00:33:20,319
Speaker 5: Yeah, it's it's more or less like what is what

695
00:33:20,440 --> 00:33:23,000
is your personality? You know, there's you know, you can

696
00:33:23,039 --> 00:33:26,160
give certain people alcohol and you know they can deal

697
00:33:26,200 --> 00:33:27,799
with it. But then there's some people who have a

698
00:33:27,839 --> 00:33:30,759
higher tendency to become addicts, you know, and that can

699
00:33:30,839 --> 00:33:33,200
be a problem to you talk about too much like

700
00:33:33,200 --> 00:33:35,160
how much is too much? You know, there's right, they

701
00:33:35,200 --> 00:33:37,119
don't say that in the literature, but you know when

702
00:33:37,119 --> 00:33:40,599
it when it becomes a social detriment to you, or

703
00:33:40,640 --> 00:33:43,079
it's you know, you're late for work again, or you

704
00:33:43,119 --> 00:33:47,920
know you're you're just you're doing that. Yeah, and you're

705
00:33:47,920 --> 00:33:50,160
you're you're cutting out time with your with your spouse

706
00:33:50,240 --> 00:33:52,119
and you know things that wall.

707
00:33:52,000 --> 00:33:55,559
Speaker 1: Street between like lunch and breakfast.

708
00:33:55,960 --> 00:34:01,079
Speaker 2: What we rectile dysfunction And maybe this isn't your area,

709
00:34:01,160 --> 00:34:04,759
but it's sort of in that adjacent area. I would think, Uh,

710
00:34:05,880 --> 00:34:09,760
it's a lot of times blamed on aging, but are

711
00:34:09,800 --> 00:34:13,760
there other contributing factors that were not necessarily aware of,

712
00:34:14,719 --> 00:34:15,280
Like most.

713
00:34:15,079 --> 00:34:17,639
Speaker 3: People don't something that most people don't.

714
00:34:17,400 --> 00:34:23,360
Speaker 2: Realize is actually affecting their rectile dysfunction that they if

715
00:34:23,400 --> 00:34:26,159
they eliminated maybe it would I don't know if it's

716
00:34:26,199 --> 00:34:31,320
gonna cur it necessarily, but would certainly maybe lessen it.

717
00:34:31,440 --> 00:34:34,000
Speaker 5: Yep, for sure, And that is a very large part

718
00:34:34,000 --> 00:34:36,760
of my practice as well. You know, I can't go

719
00:34:37,480 --> 00:34:39,760
you know, thirty minutes during the day without talking about

720
00:34:39,880 --> 00:34:45,159
a rectal dysfunction. It seems like in sleep. Yeah, and

721
00:34:45,239 --> 00:34:48,119
even but you're right, there's you know, it's kind of

722
00:34:48,840 --> 00:34:51,079
you know, blamed on aging all that that happens when

723
00:34:51,119 --> 00:34:53,800
you get older, right, you know, But the most common

724
00:34:53,840 --> 00:34:56,039
cause in what happens as you're getting older is your

725
00:34:56,159 --> 00:34:59,239
arteries are getting harder. Atherosclerosis, the same thing that causes

726
00:34:59,280 --> 00:35:03,800
heart disease. So fun fact, men who are diagnosed or

727
00:35:03,920 --> 00:35:07,320
have erect how dysfunction earlier in age, in their forties,

728
00:35:07,679 --> 00:35:10,760
you're actually at a much higher rate risk of having

729
00:35:10,840 --> 00:35:16,519
a cardiac event, higher risk of while using fiacrops correct. Yeah,

730
00:35:16,880 --> 00:35:19,079
you know. So it's you know, they say that a

731
00:35:19,119 --> 00:35:23,119
man's you know, erection is a overall barometer of their

732
00:35:23,559 --> 00:35:24,360
vascular health.

733
00:35:25,320 --> 00:35:25,519
Speaker 2: You know.

734
00:35:25,599 --> 00:35:27,360
Speaker 5: So for all you guys out there, if you're having

735
00:35:27,400 --> 00:35:29,320
any trouble with that, you know, getting to see a

736
00:35:29,360 --> 00:35:31,719
regular doctor because that can be a sign of heart disease.

737
00:35:32,400 --> 00:35:35,280
If you have erect HOUW dysfunction. You know, especially at

738
00:35:35,320 --> 00:35:36,480
a at an earlier age.

739
00:35:36,559 --> 00:35:40,400
Speaker 3: What would you recommend then, I mean honestly, like change diet.

740
00:35:40,800 --> 00:35:44,679
Speaker 5: Yeah, there's essentially anything you do that's good for your heart, yeah,

741
00:35:44,920 --> 00:35:48,280
is going to be good for you the rich right diet,

742
00:35:48,320 --> 00:35:50,679
exercise Yeah, yeah, they say if you could do.

743
00:35:50,639 --> 00:35:53,280
Speaker 1: Forty push ups in one city, yeah, that's actually a

744
00:35:53,400 --> 00:35:55,639
very good sign that you're you're not going to have

745
00:35:55,679 --> 00:35:58,239
a heart attack. The other one is if you do

746
00:35:58,239 --> 00:36:00,800
a rigorous exercise and get your Why do you laugh

747
00:36:00,800 --> 00:36:01,480
every time I talk?

748
00:36:01,639 --> 00:36:06,559
Speaker 2: Because there's someone who's in the medical field in here.

749
00:36:06,800 --> 00:36:07,599
Speaker 1: I'm just contributing.

750
00:36:07,679 --> 00:36:10,199
Speaker 5: He can he can do I actually just read it.

751
00:36:10,280 --> 00:36:12,639
I saw an article recently that had a there's like

752
00:36:12,679 --> 00:36:14,760
bend I didn't you know memorize it, But there's there's

753
00:36:14,840 --> 00:36:17,440
benchmarks for at a certain age you should be able

754
00:36:17,480 --> 00:36:18,800
to do a certain amount of push up right, and

755
00:36:18,880 --> 00:36:21,400
if you're above that, there is an association with a

756
00:36:21,400 --> 00:36:23,400
lower cardiovascular risk with that.

757
00:36:23,679 --> 00:36:26,039
Speaker 1: The other thing too, it's right if there's a test,

758
00:36:26,119 --> 00:36:28,559
right that if you can get your peak heart rate

759
00:36:28,599 --> 00:36:30,639
like at one forty one, fifty eight or whatever whatever

760
00:36:30,679 --> 00:36:33,719
your peak is, you take one minute and you rest,

761
00:36:33,960 --> 00:36:36,800
and if that heart rate drops by thirty or more,

762
00:36:37,320 --> 00:36:40,880
you're or twenty one or more, you're fine. If it's

763
00:36:40,960 --> 00:36:44,079
between twelve and twenty one, you're okay. If it's less

764
00:36:44,400 --> 00:36:46,440
than twelve, then you're at risk for a heart attack.

765
00:36:46,840 --> 00:36:49,440
Like your heart, your heart beats. So you know, just

766
00:36:49,480 --> 00:36:52,480
if you do vigorous exercise, whatever that peak is, that

767
00:36:52,559 --> 00:36:55,280
numbers should drop significantly, and if it does, then you're

768
00:36:55,280 --> 00:36:56,639
not at a risk for a heart attack. I'm just saying,

769
00:36:56,679 --> 00:36:58,480
I just want our audience to be aware of those things.

770
00:36:58,519 --> 00:37:00,559
Speaker 3: No, I know, I just like to give you that

771
00:37:00,599 --> 00:37:02,119
look because it makes me so.

772
00:37:02,280 --> 00:37:04,239
Speaker 1: My doctor tells me my cholesterol too high, but everything

773
00:37:04,280 --> 00:37:05,519
else is work, and I can go back to them

774
00:37:05,559 --> 00:37:07,760
with these numbers and say, look, don't put me on

775
00:37:07,760 --> 00:37:08,559
a stat and I'm fine.

776
00:37:08,599 --> 00:37:13,599
Speaker 5: Okay, Then five years later I know why this is.

777
00:37:13,719 --> 00:37:16,440
Speaker 3: This is the thing like I I sometimes go, I

778
00:37:16,519 --> 00:37:18,119
want to try. I have to trust the man.

779
00:37:18,480 --> 00:37:20,360
Speaker 2: I know when it comes down to the they have.

780
00:37:20,239 --> 00:37:24,840
Speaker 1: The degrees, they have letters that I'm watching YouTube videos.

781
00:37:26,280 --> 00:37:31,960
Speaker 2: But okay, so the argument that right, we can say that,

782
00:37:32,519 --> 00:37:37,679
and and yet I think today you go to Apple University,

783
00:37:38,079 --> 00:37:40,440
where they have courses and things that you can take

784
00:37:40,880 --> 00:37:47,320
and you can probably get a educated on something as

785
00:37:47,360 --> 00:37:51,639
well as you could maybe at a undergraduate level.

786
00:37:52,280 --> 00:37:56,679
Speaker 3: Honestly, So I don't know the Apple University.

787
00:37:56,679 --> 00:37:58,320
Speaker 2: Well, I'm just saying, like I think there are like

788
00:37:58,599 --> 00:38:02,760
structured lectured class says that they film. I don't know.

789
00:38:03,239 --> 00:38:04,639
Speaker 3: Probably, yes, I'm sure you do.

790
00:38:05,239 --> 00:38:06,639
Speaker 2: I don't think you have to pay what you would

791
00:38:06,679 --> 00:38:09,360
pay to go to Saint John Fisher today. But yes,

792
00:38:11,679 --> 00:38:13,039
I think you're.

793
00:38:13,119 --> 00:38:15,480
Speaker 1: A dirty I got my degree, odd, lie.

794
00:38:15,440 --> 00:38:17,000
Speaker 2: Yes, yes I did.

795
00:38:17,119 --> 00:38:17,679
Speaker 1: Then she died.

796
00:38:19,039 --> 00:38:22,360
Speaker 2: There's a lot of guys who Okay, so this is

797
00:38:22,440 --> 00:38:27,800
one that I have heard about. I'm sure that I

798
00:38:28,000 --> 00:38:32,360
really experienced. But difficulty with climax and by or or

799
00:38:32,480 --> 00:38:36,480
let's say, just ejaculation if that doesn't happen at all,

800
00:38:37,719 --> 00:38:40,679
but you sort of have the orgasmic feeling.

801
00:38:41,559 --> 00:38:44,000
Speaker 3: Is that bad? What is that? Yeah?

802
00:38:44,199 --> 00:38:46,559
Speaker 5: And it certainly happens that that part of it does

803
00:38:46,599 --> 00:38:49,679
tend to happen more as you age, you know, and

804
00:38:49,679 --> 00:38:54,079
and orgasm and ejaculation they are usually you know, one

805
00:38:54,159 --> 00:38:57,079
after the right. Sure, but if nothing comes out, it's

806
00:38:57,119 --> 00:39:00,400
not necessarily a bad sign. I do have paid who

807
00:39:00,480 --> 00:39:03,719
I see, not necessarily primarily for that, but in the

808
00:39:04,079 --> 00:39:08,239
realm of you know, erect how dysfunction and prostate problems,

809
00:39:08,800 --> 00:39:11,960
they'll mention, oh my gosh, nothing's nothing's coming out, you know,

810
00:39:12,000 --> 00:39:15,559
and and it's really a matter of like separating the two, like, okay,

811
00:39:16,440 --> 00:39:19,559
does it feel the same. You know, if you climax

812
00:39:19,639 --> 00:39:22,760
inside something, you're not going to know what comes out.

813
00:39:22,280 --> 00:39:24,920
Speaker 3: You know, in terms of the amount correct, right, and.

814
00:39:24,840 --> 00:39:27,559
Speaker 5: Then otherwise it's just okay, stop looking at it, move on.

815
00:39:27,920 --> 00:39:32,000
You know you're good. But in uh, there are you know,

816
00:39:32,079 --> 00:39:35,519
medications that can cause a you know, reduction in that,

817
00:39:35,760 --> 00:39:40,920
particularly prostate medications to help you constate medication. Yeah, yeah,

818
00:39:40,920 --> 00:39:44,159
you can do that like supplemental or not as much.

819
00:39:44,079 --> 00:39:47,199
Speaker 3: As that, but let's know, you're supplements. I don't know, right.

820
00:39:47,199 --> 00:39:49,800
Speaker 1: Well, Hulkan was promoting this stuff called super Beta Prostate.

821
00:39:49,880 --> 00:39:53,079
I'm serious. The commercials were so cheesy and Joe th

822
00:39:53,480 --> 00:39:55,119
Joe was doing the commercials too.

823
00:39:55,559 --> 00:39:58,119
Speaker 2: No, there's no but.

824
00:39:58,679 --> 00:40:03,440
Speaker 1: Hey, Hulk Cogan was listen because he said, there's medication

825
00:40:03,960 --> 00:40:05,880
and I'm trying to say that there were these commercials

826
00:40:05,920 --> 00:40:08,679
out there where Joe Thaisman hul Kogan were promoting the

827
00:40:08,719 --> 00:40:12,039
super Bana prostates supplement. They said it does as well

828
00:40:12,079 --> 00:40:14,760
as like fifty uh soul plemental capsules. And I was

829
00:40:14,800 --> 00:40:17,880
my question was is that stuff legit? Is that stuff real?

830
00:40:18,079 --> 00:40:18,280
Speaker 3: Yeah?

831
00:40:18,280 --> 00:40:20,679
Speaker 5: I mean that sort of thing has been out for

832
00:40:20,679 --> 00:40:22,760
a very long time, you know, and you know, in

833
00:40:23,119 --> 00:40:26,199
the medical world typically, you know, as we're trained, you

834
00:40:26,199 --> 00:40:29,559
don't go out and lead with recommendations to take supplements

835
00:40:29,559 --> 00:40:32,119
and things. They're just the studies behind them aren't as robust,

836
00:40:32,119 --> 00:40:34,880
they're not as rigorous, they're not you know, you're double blind,

837
00:40:34,960 --> 00:40:38,159
and they're not regularly rolled correct, you know. But the

838
00:40:38,199 --> 00:40:40,719
other thing too, it's like you want to be recommending

839
00:40:40,760 --> 00:40:43,239
things that are you know, you have some data behind

840
00:40:43,280 --> 00:40:46,119
it that that shows that it works, and there's certainly

841
00:40:46,119 --> 00:40:49,920
nothing wrong really with someone starting out with something like that. Yeah,

842
00:40:50,079 --> 00:40:52,400
by the time someone gets to a urologist, you know,

843
00:40:52,800 --> 00:40:56,159
usually symptoms are probably you know, pretty far gone at

844
00:40:56,159 --> 00:40:58,920
that point, you know. And I do have people who

845
00:40:59,559 --> 00:41:02,840
want to go that route. There's there's very minimal adverse

846
00:41:02,840 --> 00:41:06,079
effects from you know, things like saw pometto you know,

847
00:41:06,159 --> 00:41:08,760
so it's if someone has very mild symptoms and that

848
00:41:08,880 --> 00:41:10,199
helps them, great.

849
00:41:10,440 --> 00:41:11,960
Speaker 1: You know. I don't have a problem with that.

850
00:41:12,199 --> 00:41:13,679
Speaker 3: Mike Ditka did one as well.

851
00:41:14,480 --> 00:41:16,519
Speaker 1: Yeah, I think I didn't realize you still had one.

852
00:41:16,639 --> 00:41:19,039
Speaker 2: We interviewed with Mike Ditko, but it was some kind

853
00:41:19,079 --> 00:41:23,119
of some supplement as well. And it is funny, but

854
00:41:24,199 --> 00:41:26,840
you have to look at the audience, right. If hul

855
00:41:26,920 --> 00:41:30,079
Cogan is talking to guys, a lot of guys will go,

856
00:41:30,360 --> 00:41:32,960
you know what, I should do that too, And I

857
00:41:33,000 --> 00:41:35,840
think that's part of the appeal. But it's just to me,

858
00:41:36,559 --> 00:41:39,800
it's it's just that we have a medical professional and

859
00:41:39,840 --> 00:41:42,559
it's all Cogan just made me laugh. I'm not laughing

860
00:41:42,599 --> 00:41:43,559
at you, but.

861
00:41:43,519 --> 00:41:45,079
Speaker 1: I was going some with a question that was just

862
00:41:45,280 --> 00:41:47,880
that he answered it exactly like you hear these things.

863
00:41:48,079 --> 00:41:49,800
I don't want to make sure the audience knows that,

864
00:41:49,960 --> 00:41:50,280
you know.

865
00:41:50,480 --> 00:41:53,039
Speaker 3: Well, we do here a lot nowadays.

866
00:41:53,199 --> 00:41:53,440
Speaker 1: Yeah.

867
00:41:53,519 --> 00:41:57,639
Speaker 2: I mean, if you're in a certain age demographic, you're

868
00:41:57,719 --> 00:42:02,280
getting targeted ads at you. If you don't sign up

869
00:42:02,280 --> 00:42:05,079
for certain things, there's gonna be a lot of supplement things.

870
00:42:05,079 --> 00:42:07,760
I mean, I can't tell you how much I get

871
00:42:09,079 --> 00:42:10,920
beef tallow to rub all.

872
00:42:10,760 --> 00:42:14,840
Speaker 1: Over my face I've got Yeah, how about like pelvic

873
00:42:14,880 --> 00:42:18,280
floor exercise equipment? I get those targeted ads too.

874
00:42:18,360 --> 00:42:20,039
Speaker 3: I haven't gotten. I don't know why I haven't gotten.

875
00:42:20,039 --> 00:42:22,519
Speaker 1: It looks like it looks like basically we're the thigh Master.

876
00:42:22,880 --> 00:42:25,599
It's exactly kind of what it is. Increase your pelvic

877
00:42:25,639 --> 00:42:29,239
floor strength, increase orgasms, well, increase your penis strike.

878
00:42:29,280 --> 00:42:31,639
Speaker 5: And I'm like, what's your Google searches?

879
00:42:32,199 --> 00:42:34,480
Speaker 1: Well, no, it's like it just appears I'm not looking

880
00:42:34,480 --> 00:42:37,239
this stuff up. It just shows no targeted ads. I'm

881
00:42:37,280 --> 00:42:40,159
in my mid forties asking for a friend. Yeah, I

882
00:42:40,159 --> 00:42:41,480
have some friends have some questions too.

883
00:42:41,760 --> 00:42:45,000
Speaker 2: My favorite part though, with Dad is he is Daddy

884
00:42:45,159 --> 00:42:48,199
is still one of the most pure people I've ever

885
00:42:48,239 --> 00:42:51,360
met in my life, and he'll defend, He gets embarrassed

886
00:42:51,400 --> 00:42:53,639
and he'll defend vigorously over things like that.

887
00:42:53,800 --> 00:42:58,400
Speaker 3: Who knows they target it? Oh yeah, I'm serious. I don't.

888
00:43:00,039 --> 00:43:04,280
Speaker 2: I don't know the So the ejaculation thing not necessarily

889
00:43:04,360 --> 00:43:06,280
big deal. What I was going to ask is, do

890
00:43:06,480 --> 00:43:09,280
things like there are people that are in low doses

891
00:43:09,480 --> 00:43:14,679
of a fluoxetine or which is what the generic of.

892
00:43:16,639 --> 00:43:20,760
Speaker 5: SSR, Yeah yeah, will those affect yeah?

893
00:43:20,840 --> 00:43:21,360
Speaker 2: Yeah?

894
00:43:21,440 --> 00:43:24,920
Speaker 5: Unfortunately. So it's, you know, the one of the more

895
00:43:25,280 --> 00:43:27,880
common side effects, and not everybody gets it, but an

896
00:43:27,960 --> 00:43:32,639
SSRI that that does certainly lower libido, lower sex drive,

897
00:43:33,800 --> 00:43:37,960
decreases in ability to achieve a climax. You know, not

898
00:43:38,039 --> 00:43:40,960
everybody gets that symptom, but it certainly can if.

899
00:43:40,840 --> 00:43:43,079
Speaker 1: Some people actually asked to have that problem.

900
00:43:43,480 --> 00:43:46,880
Speaker 5: Well, the you know, and again in the meedical world,

901
00:43:47,280 --> 00:43:51,920
we do, we do treat people who have premature calculation, right,

902
00:43:52,800 --> 00:43:55,159
you know, and there's there's ways to get around that.

903
00:43:55,239 --> 00:43:58,800
You know, certain you know, psychosocial behaviors and you know,

904
00:43:58,960 --> 00:44:02,199
increasing ativity, right, we were kind of talking about that.

905
00:44:03,039 --> 00:44:05,159
You know, if someone's not very active and all of

906
00:44:05,199 --> 00:44:07,679
a sudden, you know it's you know, Friday night and

907
00:44:07,679 --> 00:44:11,079
a blue moon, and you know, you're doing your thing,

908
00:44:11,159 --> 00:44:13,960
and if it's been a while, it's it may not

909
00:44:14,039 --> 00:44:18,719
take very long. But people who you know, through behavioral modifications,

910
00:44:18,760 --> 00:44:22,840
if it doesn't improve, SSRIs are a treatment.

911
00:44:22,599 --> 00:44:25,760
Speaker 3: Of really almost an off label treatment.

912
00:44:25,800 --> 00:44:28,519
Speaker 1: Thereat Yeah, damn, Actually, Dan, I know a guy. He

913
00:44:28,559 --> 00:44:30,199
doesn't know that. I know that. We both know this

914
00:44:30,239 --> 00:44:33,800
guy who actually took solof No.

915
00:44:33,880 --> 00:44:36,519
Speaker 2: It's not me medical, No, it's just gonna say medical

916
00:44:36,599 --> 00:44:37,159
hippo loss.

917
00:44:37,159 --> 00:44:38,119
Speaker 3: Could we be careful?

918
00:44:38,159 --> 00:44:39,960
Speaker 1: No, I'm just saying only if you just say say

919
00:44:39,960 --> 00:44:42,320
the right No, no, but he said that he actually

920
00:44:42,360 --> 00:44:44,920
went through this and his wife actually got tired and

921
00:44:44,960 --> 00:44:47,000
he went through his doctorate said I need help with this,

922
00:44:47,039 --> 00:44:48,480
and he goes, yeah, I know people wh actually would

923
00:44:48,480 --> 00:44:49,920
pay for that problem. That's how I came up with

924
00:44:49,920 --> 00:44:51,679
the question, yes, sure, because he would go on for

925
00:44:51,719 --> 00:44:54,000
like ninety minutes. He's like, all right, we go to bed,

926
00:44:54,679 --> 00:44:57,559
and he wouldn't finish because he was on he was

927
00:44:57,599 --> 00:44:58,599
on zoloft. Yeah.

928
00:44:58,639 --> 00:45:00,440
Speaker 2: Yeah, Well, but.

929
00:45:00,400 --> 00:45:04,119
Speaker 1: Then there's other ssriyes that like like will actually make

930
00:45:04,159 --> 00:45:07,119
it fast. There's a side effect too.

931
00:45:07,199 --> 00:45:08,280
Speaker 2: I don't I have no idea.

932
00:45:08,440 --> 00:45:09,679
Speaker 3: I don't know enough about any of.

933
00:45:09,679 --> 00:45:12,639
Speaker 5: It, not that I've specifically come across. It doesn't mean

934
00:45:12,639 --> 00:45:16,119
it's impossible, you know, but it certainly certainly can slow

935
00:45:16,159 --> 00:45:20,480
things down, you know, the people who have delayed issues.

936
00:45:20,679 --> 00:45:23,119
You know, if there's not a medical, you know reason

937
00:45:23,679 --> 00:45:25,639
that we can find to help with that. You know,

938
00:45:25,840 --> 00:45:29,480
you're checking a testosterone level, you know, making sure there's

939
00:45:29,480 --> 00:45:32,360
not any you know, prostatic issue you know, to treat that.

940
00:45:32,760 --> 00:45:34,880
You know, then you get into all of the you know,

941
00:45:34,960 --> 00:45:39,159
psychosomatic concerns. But you know there's also off label treatments

942
00:45:39,199 --> 00:45:43,159
to try to help improve you know, someone's ability to climax.

943
00:45:43,239 --> 00:45:45,000
And you know, again that's where after you get past

944
00:45:45,079 --> 00:45:47,719
all the medical things because as people age, you know,

945
00:45:47,800 --> 00:45:51,840
you're looking at again atherosclerosis, hardening the arteries, reduced blood flow,

946
00:45:52,400 --> 00:45:57,760
lower testosterone levels. And then also you know the other

947
00:45:57,800 --> 00:46:01,440
thing that can happen is diabetes, nerve nerve damage, you know,

948
00:46:01,519 --> 00:46:04,960
sensory nerves, peripheral neuropathy. You know, the penis is kind

949
00:46:04,960 --> 00:46:07,400
of peripheral, you know, so you get reduced sensitivity there.

950
00:46:07,760 --> 00:46:10,039
H So smoking is a bad one.

951
00:46:09,920 --> 00:46:14,760
Speaker 3: Too, Yeah? Uh want can you stay for a little bit?

952
00:46:14,800 --> 00:46:17,760
Speaker 2: Sure? Okay, So what why don't we take a break?

953
00:46:17,800 --> 00:46:21,000
I want to ask and I don't know, I'll ask

954
00:46:21,320 --> 00:46:27,880
before we go. But testosterone therapy stuff a lot of

955
00:46:28,039 --> 00:46:36,280
mixed things that I've read a little bit dabbled in. Uh, yes,

956
00:46:36,440 --> 00:46:39,480
that that That's where I'm going. But boy, they I

957
00:46:39,519 --> 00:46:43,039
mean pushed supplement after supplement after supplement. And is it

958
00:46:43,119 --> 00:46:45,119
the natural way of aging?

959
00:46:45,840 --> 00:46:46,199
Speaker 1: Uh?

960
00:46:46,480 --> 00:46:49,719
Speaker 2: For your body? That's probably the most healthy way. And

961
00:46:50,199 --> 00:46:54,159
are there ways simply through diet and exercise that you

962
00:46:54,199 --> 00:46:58,440
can increase testosterone without having to maybe put yourself at

963
00:46:58,480 --> 00:47:01,960
at significant risk. We'll get to all that right after this.

964
00:47:02,079 --> 00:47:03,719
Have you been to Leo's Bakery and Deli and East

965
00:47:03,800 --> 00:47:07,039
Rochester recently? Oh, you gotta get there. They're open every day,

966
00:47:07,079 --> 00:47:09,320
so it's very convenient. It'll satisfy your.

967
00:47:09,199 --> 00:47:11,800
Speaker 3: Sweet tooth, your sandwich cravings. Get the Cubano.

968
00:47:11,920 --> 00:47:15,519
Speaker 2: Tell them Billified said to have the Cubano sandwich, fresh

969
00:47:15,559 --> 00:47:20,000
baked bread, hand crafted pastries, deli favorites, and desserts like

970
00:47:20,079 --> 00:47:22,639
Canol's that'll make you rethink your self control.

971
00:47:22,719 --> 00:47:24,559
Speaker 3: It's all waiting for you.

972
00:47:24,840 --> 00:47:29,199
Speaker 2: So what's the best thing about Leo's Everything? Check them

973
00:47:29,239 --> 00:47:32,039
out a Deskbats drive in East Rochester. Because every day

974
00:47:32,239 --> 00:47:34,639
is a good day for Leo's. Because the best thing

975
00:47:34,639 --> 00:47:36,400
about Leo's is everything.

976
00:47:40,119 --> 00:47:41,760
Speaker 1: Oh the prostage.

977
00:47:43,119 --> 00:47:46,880
Speaker 3: It's a good day and it's.

978
00:47:46,760 --> 00:47:57,920
Speaker 1: Head inside has a sol Life's hot to breday because

979
00:47:58,039 --> 00:47:59,079
we can't it.

980
00:48:01,119 --> 00:48:01,480
Speaker 5: Side.

981
00:48:03,280 --> 00:48:04,639
Speaker 2: I do wong, not.

982
00:48:09,440 --> 00:48:14,800
Speaker 1: The blood and directum, the.

983
00:48:14,840 --> 00:48:21,800
Speaker 2: Fancy gloves of where's the doctor? If the check?

984
00:48:22,199 --> 00:48:25,079
Speaker 3: I will say that I once had my prostate check.

985
00:48:25,960 --> 00:48:29,679
This is I shouldn't. I just remember being reddally embarrassed

986
00:48:29,679 --> 00:48:30,320
that I didn't.

987
00:48:30,400 --> 00:48:32,559
Speaker 2: I think I had to go home. I wore like

988
00:48:33,320 --> 00:48:39,880
in the mid nineties, gap had these almost they were

989
00:48:39,880 --> 00:48:44,360
almost white, but they were very light tan khaki khaki

990
00:48:44,440 --> 00:48:50,119
pan and I went to the doctor had a prostate issue.

991
00:48:50,639 --> 00:48:56,639
He looped up and then at that time he wasn't

992
00:48:56,679 --> 00:48:58,880
saying white, you know, you may want to wipe yourself.

993
00:48:59,880 --> 00:49:01,639
Speaker 3: He's like, all right, we're good, and.

994
00:49:01,519 --> 00:49:04,400
Speaker 2: I pull I had I think I was blowing bubbles,

995
00:49:04,639 --> 00:49:07,320
I asked, because there was so much. There was so

996
00:49:07,519 --> 00:49:11,280
much loube and I think it's squished through. And I

997
00:49:11,320 --> 00:49:14,800
had like a dime or maybe a quarter size of

998
00:49:14,920 --> 00:49:18,599
the ointment or whatever, right the lube through because I

999
00:49:18,639 --> 00:49:20,599
was wearing boxer shorts at the time.

1000
00:49:20,760 --> 00:49:22,239
Speaker 3: And then I saw somebody.

1001
00:49:22,800 --> 00:49:24,800
Speaker 1: We were like the poor girl who had to take

1002
00:49:24,800 --> 00:49:29,119
her sweatshirt wrapping around her. Yes, yes, that he did

1003
00:49:29,119 --> 00:49:31,760
a commercial for UH Men's depends.

1004
00:49:31,960 --> 00:49:34,880
Speaker 2: No, Well, I mean it's just it's one of these things.

1005
00:49:34,880 --> 00:49:38,400
But I think that there's I think guys are more

1006
00:49:38,440 --> 00:49:40,159
open to talking about these things today.

1007
00:49:40,679 --> 00:49:42,639
Speaker 3: What one of my questions is.

1008
00:49:42,599 --> 00:49:45,639
Speaker 2: And I don't mean this in any way other than uh,

1009
00:49:46,840 --> 00:49:52,039
just out of curiosity for men, it's probably easier to

1010
00:49:52,079 --> 00:49:56,119
talk to men about this. Are there many or any

1011
00:49:56,199 --> 00:49:59,519
that you were aware of female urologists?

1012
00:49:59,639 --> 00:50:02,320
Speaker 5: There's so they are. Yeah, and you know, we we

1013
00:50:02,440 --> 00:50:06,440
have quite a few advanced practice providers with our with

1014
00:50:06,559 --> 00:50:12,119
our practice to uh physician assistants, yeah, nurse practitioners, and

1015
00:50:12,199 --> 00:50:15,880
the overwhelming majority of them are are female. Yeah, you know,

1016
00:50:15,920 --> 00:50:18,519
And it's just a it's it's it's a comfort zone,

1017
00:50:18,519 --> 00:50:22,400
you know. Sometimes you know, the man, it's just more

1018
00:50:22,400 --> 00:50:25,000
of an embarrassment sometimes for them to see a female.

1019
00:50:25,280 --> 00:50:27,280
Speaker 3: That's that's what I mean.

1020
00:50:27,320 --> 00:50:30,519
Speaker 2: And some of these questions, I think that in America

1021
00:50:30,639 --> 00:50:33,559
we've done somewhat of a disservice and I I don't

1022
00:50:33,599 --> 00:50:36,880
know where everything is sort of cloak and dagger are

1023
00:50:36,920 --> 00:50:39,519
porn and now you can get it anywhere, but we're

1024
00:50:39,519 --> 00:50:42,400
still doing it in the dark corners of our own lives.

1025
00:50:42,920 --> 00:50:44,840
And I'm not saying we should talk about but it

1026
00:50:44,880 --> 00:50:48,000
certainly seems like Europe is a little more open, topless beaches,

1027
00:50:48,480 --> 00:50:52,360
naked around the kids, not as much body shame, and

1028
00:50:52,760 --> 00:50:58,880
we are. And I remember once having testicular issue and

1029
00:50:59,760 --> 00:51:05,079
go to the emergency room and uh, in comes the

1030
00:51:05,159 --> 00:51:08,679
doctor who's gonna check me out, and it's a woman,

1031
00:51:09,679 --> 00:51:15,239
and NIC's attractive, but just just like really, I mean, doctor, right, Scotter,

1032
00:51:15,280 --> 00:51:17,880
shit together, and she goes, all right, you're gonna have to.

1033
00:51:17,960 --> 00:51:22,480
And so now I don't know what happens in my head.

1034
00:51:22,480 --> 00:51:25,519
And I can do this with almost anything. I get

1035
00:51:25,559 --> 00:51:29,360
to a certain point and I can almost turn off

1036
00:51:30,519 --> 00:51:34,199
like any fear. I don't know what that is. I like,

1037
00:51:34,280 --> 00:51:36,480
I get to a point. Yeah, I get to a

1038
00:51:36,519 --> 00:51:39,280
point where I'm like, it could be anything, right, I

1039
00:51:39,320 --> 00:51:41,400
mean if I had, like when we used to have

1040
00:51:41,440 --> 00:51:43,599
to repel, and we had a friend who also repelled,

1041
00:51:43,599 --> 00:51:45,840
and don't say the name, but he wouldn't do it

1042
00:51:46,079 --> 00:51:47,679
down the side of the building, and I'll get to

1043
00:51:47,719 --> 00:51:49,800
the edge of that and I'll look over and I'll

1044
00:51:49,800 --> 00:51:52,239
get that same twins and then I'll go, I'll be fine,

1045
00:51:52,400 --> 00:51:54,199
and I turn it off. And I can do that,

1046
00:51:54,400 --> 00:51:56,239
or I can go one hundred and forty miles an

1047
00:51:56,239 --> 00:51:58,519
hour in a car and you know, just be like

1048
00:51:58,559 --> 00:52:01,400
hold on and then it's the great, this most exhilarating feeling,

1049
00:52:01,719 --> 00:52:04,079
but you're a little scared in the beginning. I can

1050
00:52:04,119 --> 00:52:06,320
shut that off, and it's the same thing. And I

1051
00:52:06,400 --> 00:52:09,679
remember looking at this woman going she's like, yeah, I

1052
00:52:09,719 --> 00:52:11,400
gotta take a look. I need you to stand here,

1053
00:52:11,440 --> 00:52:15,440
and she's now down like eye level, and I'm going

1054
00:52:15,880 --> 00:52:20,000
I have like every guy who's wondering how they measure

1055
00:52:20,119 --> 00:52:23,119
up what's happening, what's going on, And it's just clinical.

1056
00:52:23,239 --> 00:52:26,639
It means nothing. She's not going to remember you, You're

1057
00:52:26,679 --> 00:52:29,000
not gonna it's not you know. Yeah, but we get

1058
00:52:29,800 --> 00:52:31,199
get our head fucked up. In our head.

1059
00:52:31,280 --> 00:52:34,239
Speaker 5: Yeah, we learned very early on. Parts are parts, you know,

1060
00:52:34,320 --> 00:52:37,320
and it's just you know, to you, you're memorable, right,

1061
00:52:37,400 --> 00:52:39,920
and ship to the person who's taking care of you

1062
00:52:40,719 --> 00:52:43,400
five and that in that situation, you know they're they're

1063
00:52:43,480 --> 00:52:45,239
they're doing what they need to do. But it's just

1064
00:52:45,320 --> 00:52:48,239
it's a very you know, clinical and usually as long

1065
00:52:48,320 --> 00:52:51,480
as you know you have a general rapport with the person.

1066
00:52:51,480 --> 00:52:53,920
It's hard in an emergency room too. You know, you've

1067
00:52:53,960 --> 00:52:56,079
never even seen this person, which was great, but if

1068
00:52:56,119 --> 00:52:58,559
you yeah, and some people you know, for me, it

1069
00:52:58,639 --> 00:53:01,480
was like awesome, Yeah, if it's someone you've seen more,

1070
00:53:01,519 --> 00:53:04,760
you develop a relationship with that person and you decide like, okay, yeah,

1071
00:53:04,760 --> 00:53:07,119
they're really serious about what they're doing here. Yes, you know,

1072
00:53:07,199 --> 00:53:09,840
And it's just anyone who's properly trained can do just

1073
00:53:09,880 --> 00:53:12,679
as good as someone else, right. You know, when I

1074
00:53:12,719 --> 00:53:16,480
was at one of the other you know, urology practices.

1075
00:53:17,599 --> 00:53:20,559
There was a you know, a female PA that we

1076
00:53:20,239 --> 00:53:23,559
were training and you know, going through all the you know,

1077
00:53:23,880 --> 00:53:25,840
different exams and stuff like that, and you know, I

1078
00:53:25,880 --> 00:53:30,320
was examining this gentleman and you know, examine the prostate

1079
00:53:30,360 --> 00:53:31,719
and he's, you know, just kind of looks at her.

1080
00:53:31,719 --> 00:53:34,239
It's probably nerves and whatnot, and he's like, how do

1081
00:53:34,320 --> 00:53:36,400
you know what you're you know, feeling like you don't

1082
00:53:36,400 --> 00:53:38,159
have a prostate. And then I just I looked at

1083
00:53:38,239 --> 00:53:40,599
him and I said, have you checked your own prostate?

1084
00:53:41,119 --> 00:53:42,480
You know, it's like, how do you how do you know?

1085
00:53:42,639 --> 00:53:45,079
You know, it's just all training, you know what I mean.

1086
00:53:44,960 --> 00:53:48,159
Speaker 3: So great, great comeback, but yeah, but it's.

1087
00:53:48,000 --> 00:53:50,840
Speaker 5: You know, and sometimes it's just, you know, you get

1088
00:53:50,920 --> 00:53:53,480
uncomfortable and sometimes the filters off and you say things

1089
00:53:53,480 --> 00:53:54,360
that you don't really mean.

1090
00:53:54,360 --> 00:53:55,320
Speaker 3: And that's a definitely a.

1091
00:53:55,440 --> 00:53:58,559
Speaker 5: Guy, sure, yeah, but you know, it's just it's more

1092
00:53:58,599 --> 00:54:01,639
of a you know, the more you go to the doctors,

1093
00:54:01,760 --> 00:54:05,199
you know, and I even have patients who you know,

1094
00:54:05,320 --> 00:54:07,920
come in to see me for various things and I

1095
00:54:08,000 --> 00:54:09,760
might say, all right, well, you know, part of the

1096
00:54:09,760 --> 00:54:12,880
next part of the exam would be doing a rectal exam,

1097
00:54:12,880 --> 00:54:15,480
examining the prostate, getting an idea of what the pelvic

1098
00:54:15,480 --> 00:54:17,599
floor is doing, you know, and some people, you know,

1099
00:54:17,639 --> 00:54:19,239
you get the look and you have all these other

1100
00:54:19,599 --> 00:54:21,440
comments that you hear, and it's you know, you just

1101
00:54:21,960 --> 00:54:24,519
more or less you go over, why are we doing it?

1102
00:54:24,599 --> 00:54:27,119
You know, why are we checking? But if it's someone

1103
00:54:27,159 --> 00:54:29,760
you're probably going to see again, it's you know, it's

1104
00:54:29,800 --> 00:54:31,960
you don't have to do it today, you know, like

1105
00:54:32,000 --> 00:54:33,440
if if you want to think about it, give you

1106
00:54:33,440 --> 00:54:35,639
a little mental prep time and you know, we'll do

1107
00:54:35,679 --> 00:54:37,400
it in another you know, six months.

1108
00:54:37,440 --> 00:54:39,519
Speaker 2: So I don't know why if a doctor says to me,

1109
00:54:39,559 --> 00:54:41,840
he's probably a good idea that we check your prostate,

1110
00:54:42,639 --> 00:54:45,760
and they're saying we should do that. Now I have,

1111
00:54:45,920 --> 00:54:47,000
I wouldn't even hesitate.

1112
00:54:47,199 --> 00:54:49,519
Speaker 3: Yeah, in most of right, I wouldn't hesitate.

1113
00:54:49,599 --> 00:54:52,400
Speaker 2: And I don't know why, but I guess because I've

1114
00:54:52,559 --> 00:54:56,400
had the exam from a younger age. We did bring

1115
00:54:56,480 --> 00:55:00,639
up testosterone. There's a lot of supplement. You'll see it

1116
00:55:00,760 --> 00:55:05,519
all over health foods and not health food source, but

1117
00:55:05,639 --> 00:55:07,679
like genc's and things like that.

1118
00:55:08,199 --> 00:55:10,079
Speaker 3: A lot of ads that are pushed at guys.

1119
00:55:12,000 --> 00:55:15,440
Speaker 2: I think there's even one guy who is I think

1120
00:55:15,480 --> 00:55:17,599
doctor Drew is part of his thing. But they had

1121
00:55:17,599 --> 00:55:21,280
some kind of testosterone supplement and one of the side

1122
00:55:21,280 --> 00:55:23,519
effects is what may make you a little more aggressive

1123
00:55:23,599 --> 00:55:25,480
or angry. And I'm like, yeah, of course it does.

1124
00:55:26,760 --> 00:55:30,360
What what are the dangers with that are there? Or

1125
00:55:30,440 --> 00:55:32,880
is it better to try to raise it naturally and

1126
00:55:32,960 --> 00:55:34,519
let nature play it take its course.

1127
00:55:35,000 --> 00:55:37,199
Speaker 5: Yeah, I mean it's first off, you know, if I

1128
00:55:37,239 --> 00:55:39,679
see someone it's you know, you look at the whole picture,

1129
00:55:39,840 --> 00:55:42,760
and you know, I may have hundreds of patients on

1130
00:55:43,039 --> 00:55:45,599
some form of testosterone. Yeah, you know, but the first

1131
00:55:45,599 --> 00:55:48,559
thing is to try to establish a reason why not

1132
00:55:48,639 --> 00:55:51,960
to give it, you know, and if I can and

1133
00:55:52,079 --> 00:55:55,280
that person's feeling better, you know, through you know, diet,

1134
00:55:55,480 --> 00:55:59,000
behavior change, exercise, and we can see some data that's

1135
00:55:59,039 --> 00:56:01,440
showing you know, hey, we're getting the numbers to move

1136
00:56:02,039 --> 00:56:05,079
correlating with yes, I'm feeling better, then you you keep

1137
00:56:05,239 --> 00:56:09,880
you know, going on that path, you know, in a

1138
00:56:09,880 --> 00:56:12,400
big cause of that sometimes as men who have sleep

1139
00:56:12,400 --> 00:56:15,519
apnea snoring at night, not getting into a deep sleep,

1140
00:56:15,679 --> 00:56:18,800
you know. So for a guy testostereon levels, they're never

1141
00:56:18,840 --> 00:56:21,800
the same you can check a testogeon level five times

1142
00:56:21,840 --> 00:56:23,599
a day, it's going to be different every single time.

1143
00:56:24,159 --> 00:56:28,199
It tends to peak in the morning. Yeah, so in general, stereotypically,

1144
00:56:28,199 --> 00:56:31,159
men tend to be more frisky in the morning. Yeah,

1145
00:56:31,760 --> 00:56:35,280
and that's the morning wood songs when the levels are

1146
00:56:35,320 --> 00:56:38,480
generally higher. But if someone's not getting good sleep, they're snoring,

1147
00:56:38,519 --> 00:56:40,559
they're sleeping four hours a night, you're not getting into

1148
00:56:40,559 --> 00:56:43,079
those deep sleep cycles that trigger your body to say, hey,

1149
00:56:43,119 --> 00:56:46,480
let's make more testosterones, so that can be priority number one.

1150
00:56:46,519 --> 00:56:50,840
So yeah, there you go. Some patients I see, you know,

1151
00:56:50,920 --> 00:56:53,639
they don't even get on testosterone. They go back to

1152
00:56:53,679 --> 00:56:55,599
their primary care doctor and say, hey, we saw Dan

1153
00:56:55,639 --> 00:56:57,519
and you know I snore all the time at night.

1154
00:56:57,519 --> 00:56:59,199
Should I get a you know, sleep study? And they

1155
00:56:59,239 --> 00:57:01,599
do and they get that fixed, and over the course

1156
00:57:01,599 --> 00:57:04,239
of several months that the tea level starts starts going

1157
00:57:04,280 --> 00:57:04,639
back up.

1158
00:57:04,880 --> 00:57:05,119
Speaker 3: Okay.

1159
00:57:05,239 --> 00:57:07,119
Speaker 5: Yeah, so yeah, there's there's a lot of is it

1160
00:57:07,159 --> 00:57:09,840
important for men to check their tea level? It's not

1161
00:57:09,960 --> 00:57:13,320
a recommended, you know, routine screening, you know, because it's

1162
00:57:13,400 --> 00:57:16,400
everybody's levels all over the place. Someone may be running

1163
00:57:16,440 --> 00:57:19,599
around at three four hundred and they feel completely fine.

1164
00:57:19,760 --> 00:57:22,800
You know, another guy might need five six hundred. There's

1165
00:57:22,840 --> 00:57:25,679
really not a test to tell, like what is someone's threshold?

1166
00:57:26,440 --> 00:57:29,880
You know it certainly declines as we age, you know,

1167
00:57:29,960 --> 00:57:32,159
but there are things you can do to you know,

1168
00:57:32,360 --> 00:57:35,880
increase that. You know, I said sleep, good diet. You know,

1169
00:57:36,440 --> 00:57:38,119
you don't have to be a health nut per se,

1170
00:57:38,159 --> 00:57:42,039
but you know, in general, moderation, lean proteins, healthy fats,

1171
00:57:42,159 --> 00:57:44,920
fats that are in salmon, avocados, notts, seeds, you know,

1172
00:57:44,960 --> 00:57:47,480
fruits and vegetables, zinc, you know, vitamin yell that all

1173
00:57:47,480 --> 00:57:50,320
that good stuff that the almonds I asked for on

1174
00:57:50,360 --> 00:57:53,400
my rider that I wasn't delivered today, by the.

1175
00:57:53,400 --> 00:57:55,840
Speaker 3: Way, cinnamon. Didn't you say cinnamon almonds?

1176
00:57:56,280 --> 00:57:57,440
Speaker 5: It's just a nice little flavor.

1177
00:57:57,320 --> 00:57:59,159
Speaker 3: Dusted Well, I was gonna say, I think cinnamon is

1178
00:57:59,159 --> 00:57:59,559
pretty good.

1179
00:57:59,559 --> 00:58:01,840
Speaker 1: For cinnamon is really good. It is.

1180
00:58:01,920 --> 00:58:06,400
Speaker 2: Yeah, yeah, that's because I have been told and I

1181
00:58:06,480 --> 00:58:09,639
think Dan set off Mike. I'm not sure if we

1182
00:58:09,719 --> 00:58:13,719
were on at that moment, but we've been told of

1183
00:58:14,159 --> 00:58:18,239
increased risks of cancer. I think you were told heart attack.

1184
00:58:18,000 --> 00:58:21,840
Speaker 1: Heart attack, and hair loss if you go through TRT therapy. Okay,

1185
00:58:21,920 --> 00:58:23,960
this is what I was told several years ago by

1186
00:58:23,960 --> 00:58:24,400
a doctor.

1187
00:58:24,599 --> 00:58:27,159
Speaker 5: Yeah, And in the mid twenty or mid twenty tens,

1188
00:58:27,159 --> 00:58:29,599
there was some studies that came out that made people

1189
00:58:29,639 --> 00:58:30,360
pause about that.

1190
00:58:30,400 --> 00:58:31,519
Speaker 1: There was a black box.

1191
00:58:31,280 --> 00:58:34,960
Speaker 5: Warnings that came out. And recently there was a very

1192
00:58:35,079 --> 00:58:38,920
large study that was done and essentially, you know, more

1193
00:58:39,000 --> 00:58:42,159
or less targeted men who were a little more unhealthy

1194
00:58:42,159 --> 00:58:44,960
that had cardiac risk factors, you know, and they followed

1195
00:58:44,960 --> 00:58:47,440
them for five years. It was called the Traverse Study,

1196
00:58:48,119 --> 00:58:50,079
and it just came out within the last couple of years,

1197
00:58:50,079 --> 00:58:55,000
and essentially there was no increased risk in all cause mortality.

1198
00:58:55,039 --> 00:58:58,800
There was no increased risk in heart attacks, strokes. There's

1199
00:58:58,840 --> 00:59:04,880
a very slight increase in aphib rates, atrofibrillation, blood clots,

1200
00:59:05,599 --> 00:59:09,280
but nothing that led to death. You know, blood pressure

1201
00:59:09,360 --> 00:59:11,400
might go up a little bit, Yeah, but again it's

1202
00:59:11,400 --> 00:59:13,880
all in the proper management of that, you know. Or

1203
00:59:14,039 --> 00:59:16,079
you know, some patients ask me that what should my

1204
00:59:16,119 --> 00:59:18,440
testostereal level be? You know, and if if it's someone

1205
00:59:18,440 --> 00:59:21,480
who we're starting on treatment, it's basically the lowest level

1206
00:59:22,000 --> 00:59:25,480
that you can get by with during whatever treatment option

1207
00:59:25,559 --> 00:59:27,599
you're using. You know, whether it's a Gelly, you're rubbing

1208
00:59:27,599 --> 00:59:30,280
on every day, a shot you're given to yourself once

1209
00:59:30,320 --> 00:59:33,679
a week, hormone pellets that get implanted, you know, every

1210
00:59:33,719 --> 00:59:36,599
three to four months, long acting shots. They have testostereon

1211
00:59:36,719 --> 00:59:39,679
specific pills now, you know. So it's it's essentially that

1212
00:59:39,800 --> 00:59:43,599
lowest level that keeps you feeling well and back like yourself,

1213
00:59:43,800 --> 00:59:45,599
you know, while you're on that. And it's it's a

1214
00:59:45,599 --> 00:59:48,360
dose dependent thing, you know. I can see, you know

1215
00:59:48,480 --> 00:59:51,119
a dozen different people on testosterone and they may all

1216
00:59:51,159 --> 00:59:54,239
be on different dosings of different medicine, and it's it's

1217
00:59:54,280 --> 00:59:57,000
kind of what what works for them, you know, but

1218
00:59:57,079 --> 01:00:00,960
it's it's very it's a very safe treatment when it's

1219
01:00:01,039 --> 01:00:05,079
managed properly, you know, you know, you have you.

1220
01:00:05,079 --> 01:00:07,800
Speaker 2: Go to a doctor and not necessarily something.

1221
01:00:07,719 --> 01:00:10,159
Speaker 5: I and I see people who've been in the you know,

1222
01:00:10,199 --> 01:00:13,360
the bodybuilding industry for years and they they come to

1223
01:00:13,400 --> 01:00:15,119
see me and say, they say, all right, listen, I

1224
01:00:15,159 --> 01:00:16,519
just I just want to get clean. I want to

1225
01:00:16,559 --> 01:00:19,199
do this right. I want to have somebody monitoring it. Yeah,

1226
01:00:19,480 --> 01:00:22,639
you know, and we don't have studies that say, oh,

1227
01:00:22,760 --> 01:00:26,559
what happens if you're tea levels one thousand all the time,

1228
01:00:26,679 --> 01:00:28,800
you know, and then you just kind of have to extrapolate.

1229
01:00:28,840 --> 01:00:31,599
And you look at the car doors off, Yeah, trucks

1230
01:00:31,599 --> 01:00:32,360
off exactly.

1231
01:00:33,039 --> 01:00:33,320
Speaker 1: Pressed.

1232
01:00:33,320 --> 01:00:38,599
Speaker 5: Boy, you look at you know, bodybuilding industry, there there

1233
01:00:38,639 --> 01:00:41,159
is a higher risk of people just sudden death. You

1234
01:00:41,159 --> 01:00:43,639
know that. I've been on you know, the very high

1235
01:00:43,679 --> 01:00:44,960
level injections.

1236
01:00:44,440 --> 01:00:45,559
Speaker 3: Everything very long time.

1237
01:00:45,679 --> 01:00:50,360
Speaker 2: Yeah, well I think there was just recently a bodybuilder

1238
01:00:50,440 --> 01:00:53,719
just died, like within the past two days. I came across, Yeah,

1239
01:00:53,840 --> 01:00:59,719
forty four year old bodybuilder or guy at the gym. Yeah, yeah, yeah.

1240
01:00:58,719 --> 01:01:01,000
Speaker 1: It's about our age. I mean, well, it's funny because

1241
01:01:01,000 --> 01:01:03,599
like Ken Kamminitty, remember the steroid thing happened to baseball,

1242
01:01:04,079 --> 01:01:07,559
He ended up dying. He had like the drugs like

1243
01:01:07,639 --> 01:01:10,440
later on stuff, but he didn't realize that when he

1244
01:01:10,480 --> 01:01:14,639
took steroids that steroid users typically cycle on and off.

1245
01:01:14,679 --> 01:01:17,760
He just kept going and going and going. It didn't stop,

1246
01:01:18,119 --> 01:01:19,360
and then when he stopped, all of a sudden, he

1247
01:01:19,400 --> 01:01:22,239
felt lethargic. So he kept going, and guys like Koseko

1248
01:01:22,320 --> 01:01:24,000
were like, no, bro, you gotta do it like this.

1249
01:01:24,039 --> 01:01:27,400
That's how Konseko became like the godfather of steroid usage

1250
01:01:27,679 --> 01:01:31,159
because he actually like this is gonna sound ridiculous. He

1251
01:01:31,239 --> 01:01:35,239
introduced really steroids into baseball and made them more I

1252
01:01:35,239 --> 01:01:37,519
don't want to use the word mainstream, but educated a

1253
01:01:37,519 --> 01:01:39,880
lot of baseball players how to use him. He was

1254
01:01:39,960 --> 01:01:41,400
kind of like a die. I mean, if you've seen

1255
01:01:41,480 --> 01:01:45,239
Koseko today, he looks fantastic still he's like sixty something

1256
01:01:45,320 --> 01:01:47,920
years old, but like he did it like in a

1257
01:01:48,000 --> 01:01:51,639
proper way. Kmanitty was just yeah, doing it all the time.

1258
01:01:51,800 --> 01:01:57,920
Speaker 2: There's I almost feel like there's a rise in I

1259
01:01:57,920 --> 01:02:01,559
don't know what the right term is longevity doctors, but

1260
01:02:01,599 --> 01:02:05,880
there are doctors who are doing different hormone replacements and

1261
01:02:06,119 --> 01:02:08,360
for men right, you know, and these things.

1262
01:02:08,400 --> 01:02:09,320
Speaker 3: And I always worry.

1263
01:02:09,679 --> 01:02:13,800
Speaker 2: I always go, are you making your yourself more susceptible

1264
01:02:13,840 --> 01:02:19,000
to something kind of stops traphic versus actually helping your

1265
01:02:19,320 --> 01:02:19,800
your body?

1266
01:02:19,840 --> 01:02:21,039
Speaker 3: And I don't know the answer.

1267
01:02:21,159 --> 01:02:25,320
Speaker 2: And it sounds like if you do things properly, yeah,

1268
01:02:25,360 --> 01:02:26,119
it can work out.

1269
01:02:26,199 --> 01:02:26,440
Speaker 3: Yeah.

1270
01:02:26,480 --> 01:02:28,880
Speaker 5: And I've just I've you know, been fortunate to take

1271
01:02:28,920 --> 01:02:32,400
care of some people for you know, over a decade now,

1272
01:02:32,559 --> 01:02:34,840
and you know people that just they do well. I

1273
01:02:34,880 --> 01:02:36,719
have so many people that say, you know that they

1274
01:02:36,960 --> 01:02:38,079
they get their life back.

1275
01:02:38,920 --> 01:02:39,079
Speaker 2: You know.

1276
01:02:39,519 --> 01:02:42,079
Speaker 5: One of the primary symptoms of low testosterone is just

1277
01:02:42,119 --> 01:02:44,679
feeling like low energy, like I can't get up and

1278
01:02:44,719 --> 01:02:47,599
do that, you know, motivation like I used to go

1279
01:02:47,599 --> 01:02:49,079
to the gym all the time. I just I can't

1280
01:02:49,119 --> 01:02:52,320
get myself to go. Or they go and it takes

1281
01:02:52,360 --> 01:02:55,519
them five days to recover, you know, you know, and

1282
01:02:55,679 --> 01:02:58,440
just like mental clarity, mental fog. You know, people are

1283
01:02:58,559 --> 01:03:01,280
you know, say I'm not productive at work when my

1284
01:03:01,480 --> 01:03:02,400
testosterone is low.

1285
01:03:02,679 --> 01:03:02,920
Speaker 2: You know.

1286
01:03:03,039 --> 01:03:04,880
Speaker 5: So it's it's it's one of those things where you're

1287
01:03:04,880 --> 01:03:08,480
looking at numbers and there's guidelines that we use to

1288
01:03:08,719 --> 01:03:10,840
you know, kind of use as a benchmark of Okay,

1289
01:03:10,840 --> 01:03:13,639
should we start pursuing this or not. You know, but

1290
01:03:13,719 --> 01:03:15,920
if you have symptoms going along with that, you know,

1291
01:03:15,960 --> 01:03:19,119
it's it's worth exploring that and ruling out some other

1292
01:03:19,159 --> 01:03:21,639
potential causes of it, you know first, and if if

1293
01:03:21,679 --> 01:03:24,679
you can't rule out any other cause, and your only

1294
01:03:24,719 --> 01:03:27,400
other option is to start testosterone, and that's a great

1295
01:03:27,440 --> 01:03:30,679
patient to start that, and then they usually do very well,

1296
01:03:30,800 --> 01:03:33,960
you know, over over a long period of time. You know,

1297
01:03:34,000 --> 01:03:37,639
we we screened for prostate cancer. There's you know, there's

1298
01:03:37,960 --> 01:03:41,519
there's some data out there where the waters get a

1299
01:03:41,559 --> 01:03:45,480
little bit muddy with with prostate cancer and testosterone. One

1300
01:03:45,559 --> 01:03:47,559
nice thing with that Traverse study that was done, it

1301
01:03:47,599 --> 01:03:49,679
showed that there was not an increased risk in in

1302
01:03:49,719 --> 01:03:53,760
prostate cancer creases. Right, So you know, as as prostate

1303
01:03:53,840 --> 01:03:59,559
cancer starts to uh you know develop like uh change

1304
01:03:59,599 --> 01:04:02,320
more in a it's becomes more aggressive, then it does

1305
01:04:02,360 --> 01:04:05,719
become a lot more responsive to testosterone. So people who

1306
01:04:05,760 --> 01:04:08,360
have higher grades of prostate cancer, you know, you know,

1307
01:04:08,599 --> 01:04:11,840
you got to pull that back and stop. We actually

1308
01:04:11,840 --> 01:04:14,639
have patients who have prostate cancer, they've been diagnosed with

1309
01:04:14,679 --> 01:04:17,920
a low grade prostaate cancer. They choose to follow an

1310
01:04:17,960 --> 01:04:21,320
active surveillance protocol where they're not having their prostas taken out,

1311
01:04:21,320 --> 01:04:24,800
they're not getting radiation, they're not getting any other you know,

1312
01:04:25,119 --> 01:04:28,320
focal you know therapies, and you know, but they say

1313
01:04:28,320 --> 01:04:31,079
to us like, I can't come off a testosterone, Like

1314
01:04:31,079 --> 01:04:33,840
I'd rather I'd rather die than be off of this,

1315
01:04:34,039 --> 01:04:36,320
you know, like it's it's such a big change in

1316
01:04:36,320 --> 01:04:39,000
their life to be on it. And there's people now

1317
01:04:39,000 --> 01:04:41,679
who we follow who have prostay cancer who we're giving

1318
01:04:41,719 --> 01:04:44,719
testosterone to. Can you keep you check their PSAs every

1319
01:04:44,719 --> 01:04:47,639
time they come in and you know. You you just

1320
01:04:47,800 --> 01:04:50,920
watch for pattern changes and you know, you intervene if

1321
01:04:51,079 --> 01:04:53,760
you know something goes off, let your patient know.

1322
01:04:53,719 --> 01:04:54,519
Speaker 3: Get to a doctor.

1323
01:04:54,559 --> 01:04:54,920
Speaker 2: Fellas.

1324
01:04:55,000 --> 01:04:56,880
Speaker 1: Yeah, well I got so. I got two buddies who

1325
01:04:56,880 --> 01:04:59,719
are on TRT and every six weeks they're getting their

1326
01:04:59,719 --> 01:05:01,679
blood wrong, they're getting checked out.

1327
01:05:01,800 --> 01:05:02,000
Speaker 3: Yeah.

1328
01:05:02,119 --> 01:05:04,280
Speaker 5: It depends on what kind of treatment we're on. You know,

1329
01:05:04,320 --> 01:05:06,480
if if I have somebody who's on you know, let's

1330
01:05:06,480 --> 01:05:08,880
say a gel or they're doing self injections, it's a

1331
01:05:08,920 --> 01:05:11,159
little more you know, visits in the beginning, but once

1332
01:05:11,199 --> 01:05:13,960
someone's on kind of like an autopilot, it's generally a

1333
01:05:14,000 --> 01:05:17,440
six month follow up unless something, unless something changes.

1334
01:05:18,320 --> 01:05:20,400
Speaker 2: When you're that all right, well that's something to know

1335
01:05:20,559 --> 01:05:24,360
only because they do think that you probably do feel better.

1336
01:05:24,719 --> 01:05:27,079
Speaker 3: Yeah, it's I get I think you feel better.

1337
01:05:27,119 --> 01:05:29,440
Speaker 5: It's your you know, it's you know, and obviously you

1338
01:05:29,480 --> 01:05:31,599
know you feel like again, you.

1339
01:05:31,559 --> 01:05:33,880
Speaker 3: Know, but that's what you hear in some ads from guys.

1340
01:05:34,000 --> 01:05:35,599
Speaker 2: Right, Yeah, and you know.

1341
01:05:36,039 --> 01:05:38,480
Speaker 1: I can resume my daily activities. They show you at

1342
01:05:38,480 --> 01:05:40,719
a park. Yeah, I want to show you in two

1343
01:05:40,760 --> 01:05:42,760
separate bathtubs overlooking a bluff.

1344
01:05:42,880 --> 01:05:48,559
Speaker 5: No, they by the way, Yeah, the bathtubs and the CLIs.

1345
01:05:48,599 --> 01:05:51,440
The interesting story with that when that came out, obviously

1346
01:05:51,440 --> 01:05:55,960
that was for what and then you know, middle aged

1347
01:05:55,960 --> 01:05:59,840
men started noticing, like, I'm peeing a lot better, and

1348
01:05:59,880 --> 01:06:02,360
they actually went back and restudied it and they have

1349
01:06:02,440 --> 01:06:07,639
a secondary FDA approval for prostate related urinary symptoms. Oh wow, really,

1350
01:06:07,719 --> 01:06:10,800
so it becomes italy. Yeah, and now it's generic. You know,

1351
01:06:10,880 --> 01:06:13,239
it's it's very easy to get. You know, there's you

1352
01:06:13,239 --> 01:06:17,000
can get it online, but you know, pharmacies around here,

1353
01:06:17,159 --> 01:06:19,679
you know, they it's it's not expensive. You know, use

1354
01:06:19,719 --> 01:06:22,360
one of those good RX coupons that you are about

1355
01:06:22,360 --> 01:06:24,599
all the time, and it's you know, you're you're generally

1356
01:06:24,639 --> 01:06:26,719
under thirty bucks for a ninety day supply of that.

1357
01:06:27,000 --> 01:06:29,840
But it's a great medication for the right patient who

1358
01:06:30,840 --> 01:06:34,559
has prostate issues, they have some erect how dysfunction and

1359
01:06:34,880 --> 01:06:37,599
you know, in an ideal situation, they they respond to

1360
01:06:37,639 --> 01:06:40,320
that CLIs they take every day. Their erections are better,

1361
01:06:40,480 --> 01:06:42,199
they take it every day, they're peeing better. Ye have

1362
01:06:42,360 --> 01:06:45,519
lower dose, yeah, once a day, and it's it kills

1363
01:06:45,519 --> 01:06:48,239
two birds with one stone, it's it's it's a great yeah. Yeah,

1364
01:06:48,519 --> 01:06:50,880
and unlike the other you know, going back to the

1365
01:06:50,920 --> 01:06:56,000
you know, the ejaculation issue. You know, the typical right,

1366
01:06:56,280 --> 01:06:58,960
typical medications with that, like you have your you know

1367
01:06:59,000 --> 01:07:02,239
their generics now, but flomax, wrap a flow, your octa troll.

1368
01:07:02,880 --> 01:07:07,679
Those medications sometimes can cause what's called retrograde ejaculation or

1369
01:07:08,159 --> 01:07:08,719
decreased sense.

1370
01:07:08,760 --> 01:07:10,519
Speaker 3: Wait wait wait, wait wait wait, you don't have to

1371
01:07:10,559 --> 01:07:10,920
do with that.

1372
01:07:11,000 --> 01:07:13,400
Speaker 1: Retrograde Is that like when it goes back inside you?

1373
01:07:13,480 --> 01:07:15,119
Speaker 5: But yeah, it just doesn't go out forward?

1374
01:07:15,760 --> 01:07:16,280
Speaker 1: Is that bad?

1375
01:07:16,599 --> 01:07:17,000
Speaker 2: No?

1376
01:07:17,199 --> 01:07:19,639
Speaker 5: Okay, But if you don't tell patients about it, it's

1377
01:07:19,679 --> 01:07:21,159
it can be very concerning.

1378
01:07:21,400 --> 01:07:22,920
Speaker 2: Yeah, my god, nothing's coming out.

1379
01:07:23,039 --> 01:07:24,320
Speaker 1: Okay, but does it feel better?

1380
01:07:25,480 --> 01:07:28,760
Speaker 5: Well? Sometimes people have a sensation change with that. You know,

1381
01:07:28,840 --> 01:07:31,320
there's less of that rhythmic contraction that's going on.

1382
01:07:31,760 --> 01:07:34,159
Speaker 1: So, you know, I'm asking the questions.

1383
01:07:34,320 --> 01:07:36,480
Speaker 3: Feel better you feel? I'm just curious.

1384
01:07:37,039 --> 01:07:40,400
Speaker 1: Yeah, I have a friend wants to have more powerful orgasms.

1385
01:07:40,480 --> 01:07:41,800
Is that something you can work on at home?

1386
01:07:42,800 --> 01:07:43,840
Speaker 5: I haven't developed that pillar.

1387
01:07:43,960 --> 01:07:45,800
Speaker 2: What do they do for? You?

1388
01:07:45,840 --> 01:07:48,320
Speaker 3: Did bring it up? And I think that, Uh.

1389
01:07:49,239 --> 01:07:52,639
Speaker 2: I think a lot of guys, especially when they're young,

1390
01:07:54,159 --> 01:07:56,880
premature ejaculation is not an uncommon thing.

1391
01:07:56,960 --> 01:07:57,760
Speaker 3: It seems to.

1392
01:07:57,719 --> 01:08:00,880
Speaker 2: Probably go away as you get older and you get

1393
01:08:00,920 --> 01:08:02,000
a little more established and.

1394
01:08:02,480 --> 01:08:03,159
Speaker 5: Nerves settled down.

1395
01:08:03,280 --> 01:08:06,840
Speaker 2: Yeah, nerves settle down, or even your confidence maybe is

1396
01:08:06,840 --> 01:08:11,039
a little wren But what are there things that can

1397
01:08:11,079 --> 01:08:16,600
be done that aren't necessarily medicine or something that I

1398
01:08:16,880 --> 01:08:20,880
don't know, what do you do like like a numbing thing?

1399
01:08:21,039 --> 01:08:24,600
Speaker 5: Sometimes Yeah, it's you know, and there's a typical protocol

1400
01:08:24,680 --> 01:08:28,399
is you know, increasing the frequency and then being more

1401
01:08:28,720 --> 01:08:31,720
you know more you know, more active, more often within

1402
01:08:31,760 --> 01:08:35,560
reason obviously, and then you know there's there's techniques where

1403
01:08:35,640 --> 01:08:38,920
you know, for play, you know, don't touch anything, you know,

1404
01:08:39,000 --> 01:08:42,399
like because the more that things are stimulated, it elevates

1405
01:08:42,399 --> 01:08:44,720
that level, yeah, you know, and gets gets people closer

1406
01:08:45,479 --> 01:08:50,319
you know, barriers, you know, condoms reducing sensitivity there. But yes,

1407
01:08:50,399 --> 01:08:53,520
there are you know, creams that came out, I believe,

1408
01:08:53,520 --> 01:08:55,760
I forget the show that it was on, but there

1409
01:08:55,840 --> 01:08:59,000
was a product called Promescant and it was featured on

1410
01:08:59,000 --> 01:09:01,560
one of the talk shows and I think sales.

1411
01:09:01,319 --> 01:09:03,399
Speaker 1: It wasn't the view it wasn't.

1412
01:09:03,520 --> 01:09:06,319
Speaker 5: I think sales I heard went up by some ungodly

1413
01:09:06,359 --> 01:09:08,279
percentage after that hit the air.

1414
01:09:08,439 --> 01:09:10,199
Speaker 1: You know, it's a spray, Yeah.

1415
01:09:10,079 --> 01:09:13,399
Speaker 2: Yeah, well, because the great thing is, I know I

1416
01:09:13,439 --> 01:09:16,000
got it. I don't want anybody else to know. If

1417
01:09:16,000 --> 01:09:18,520
there's a way that I can have it, you know,

1418
01:09:18,680 --> 01:09:21,239
brown package to my door and no one knows what's

1419
01:09:21,279 --> 01:09:21,640
in there.

1420
01:09:21,720 --> 01:09:23,399
Speaker 3: That's great size.

1421
01:09:23,520 --> 01:09:25,319
Speaker 2: Well, it is the way things yeah, and it is

1422
01:09:25,359 --> 01:09:28,000
the way things now have gone in a lot of.

1423
01:09:28,000 --> 01:09:31,720
Speaker 1: Hey, goy door for Bill Moran radio host, you know

1424
01:09:31,760 --> 01:09:32,439
where he lives.

1425
01:09:33,960 --> 01:09:36,800
Speaker 2: But I think even for erectile dysfunction of thinking like

1426
01:09:36,840 --> 01:09:40,079
the hymns and hers, that they come right to the

1427
01:09:40,199 --> 01:09:44,560
door does make it a little more attractive just for

1428
01:09:44,640 --> 01:09:45,119
some people.

1429
01:09:45,199 --> 01:09:47,000
Speaker 5: It certainly does. And it's you know, and it's you know,

1430
01:09:47,039 --> 01:09:49,079
there's there's pros and cons with that, but it has

1431
01:09:49,800 --> 01:09:53,880
opened the door for people to start seeking treatment for that,

1432
01:09:53,920 --> 01:09:56,600
for something that can be very distressful.

1433
01:09:56,239 --> 01:09:59,760
Speaker 2: Yes, yes, and ruined relationships a certain point of shame.

1434
01:10:00,279 --> 01:10:01,039
Speaker 3: Yeah, it really does.

1435
01:10:01,359 --> 01:10:03,319
Speaker 5: I see it all the time. And my patients though

1436
01:10:03,399 --> 01:10:06,319
they'll mentioned, you know, the you know, some some men

1437
01:10:06,359 --> 01:10:09,199
aren't as you know, forthcoming with you know, letting their

1438
01:10:09,199 --> 01:10:11,600
spouse just know exactly what happened, you know, and then

1439
01:10:11,720 --> 01:10:13,880
you know the natural reactions, what's what's going on.

1440
01:10:14,279 --> 01:10:16,359
Speaker 3: You don't find me attractive anymore.

1441
01:10:16,880 --> 01:10:18,000
Speaker 5: Right, It's it's a real thing.

1442
01:10:18,199 --> 01:10:21,039
Speaker 3: Is it because I'm fat? Did I get fat?

1443
01:10:22,560 --> 01:10:24,199
Speaker 1: It's amazing how we get stuck in our own head.

1444
01:10:24,239 --> 01:10:26,840
Speaker 2: Well we do, but but but it makes sense, Yes

1445
01:10:26,840 --> 01:10:27,119
it does.

1446
01:10:27,399 --> 01:10:28,039
Speaker 3: That's what he's saying.

1447
01:10:28,640 --> 01:10:29,439
Speaker 5: I love.

1448
01:10:29,680 --> 01:10:33,000
Speaker 2: I would rather be the guy that goes to the

1449
01:10:33,039 --> 01:10:36,560
pharmacy and says, hey, I got to pick up and

1450
01:10:37,000 --> 01:10:40,600
what what are you here for? And you go boner

1451
01:10:40,640 --> 01:10:43,960
pills or whatever whatever the real name is, and yeah, see,

1452
01:10:44,039 --> 01:10:46,239
not that guy. I'd rather look them dead in the eye,

1453
01:10:46,239 --> 01:10:48,640
go fiagri. It's gonna be a hell of a weekend

1454
01:10:50,479 --> 01:10:54,159
just to me, because I think they'd laugh. They give

1455
01:10:54,159 --> 01:10:55,880
it out all the time. They don't care.

1456
01:10:57,239 --> 01:11:01,159
Speaker 1: The pharmacy, I go, yeah, four prescriptions for Dan BURRELLO. Yeah,

1457
01:11:01,159 --> 01:11:04,479
I got problems and they start laughing. Yeah, they try

1458
01:11:04,520 --> 01:11:05,720
to help you. Do you need to talk to the

1459
01:11:05,720 --> 01:11:09,359
counselor I know how to take these frankly, don't even

1460
01:11:09,399 --> 01:11:09,960
want them.

1461
01:11:09,840 --> 01:11:12,199
Speaker 5: Speaking of counseling. That's that's another one in there. That's

1462
01:11:12,239 --> 01:11:15,199
that can be very helpful, you know, seeing a certified

1463
01:11:15,199 --> 01:11:18,439
sex therapist, you know, someone who's you know, trained in

1464
01:11:18,560 --> 01:11:22,720
the whole mental you know, psychosocial aspect about sexual function.

1465
01:11:22,760 --> 01:11:25,079
Speaker 2: I have wanted to talk to This will sound funny

1466
01:11:25,079 --> 01:11:28,239
the way I'm about to say this, much like we're

1467
01:11:28,279 --> 01:11:30,720
talking to you on the podcast as sex therapist, and

1468
01:11:30,760 --> 01:11:35,119
I can never seem to find anybody that's willing because

1469
01:11:35,119 --> 01:11:36,600
I think they all think it's going to be jokes

1470
01:11:36,640 --> 01:11:37,319
or bonner jokes.

1471
01:11:37,800 --> 01:11:39,279
Speaker 1: It's not given our reputations.

1472
01:11:39,319 --> 01:11:42,079
Speaker 2: Well, you put a little levity behind it, but I

1473
01:11:42,479 --> 01:11:47,199
do think that there's a stigma and if you can

1474
01:11:47,720 --> 01:11:51,640
do something, I think most out nonmost all of life

1475
01:11:51,720 --> 01:11:53,920
has lived in our head. All of our suffering is

1476
01:11:53,920 --> 01:11:56,640
in our head. Our perception of things is in our head.

1477
01:11:57,079 --> 01:11:59,600
And I'm not saying that medicines and things aren't needed

1478
01:11:59,640 --> 01:12:02,279
that that that's not it. But I do think when

1479
01:12:02,319 --> 01:12:04,399
it comes to some of these things, to your point,

1480
01:12:04,760 --> 01:12:07,600
it could be in your head, and people don't want

1481
01:12:07,600 --> 01:12:09,560
to hear that. We want a quick fix. We live

1482
01:12:09,600 --> 01:12:11,439
in an age where we want the answer now, and

1483
01:12:11,439 --> 01:12:12,800
if it could be in the form of a pill,

1484
01:12:12,880 --> 01:12:15,520
please give it to me. Better living through chemistry. I

1485
01:12:15,600 --> 01:12:18,399
understand that, but if you can sometimes prevent that, because

1486
01:12:18,439 --> 01:12:21,159
most of these drugs do have a side effect, maybe mild,

1487
01:12:21,159 --> 01:12:24,800
maybe nothing, but it's for some people. Like I've known

1488
01:12:24,840 --> 01:12:27,159
people to take a pill that many, many, many people

1489
01:12:27,239 --> 01:12:29,800
take and they break out in full hives, right, and

1490
01:12:29,800 --> 01:12:32,000
it's awful and it's itchy, and they get scabs and

1491
01:12:32,039 --> 01:12:33,119
it's not comfortable.

1492
01:12:33,439 --> 01:12:36,680
Speaker 3: If you can do something in your head, I mean help.

1493
01:12:36,680 --> 01:12:39,520
Speaker 5: Right, Yeah, And it's it's a you know, it's a

1494
01:12:39,720 --> 01:12:41,600
it's a nice service to be able to have, you know,

1495
01:12:41,760 --> 01:12:43,840
and you know when you talk about erect how this

1496
01:12:43,920 --> 01:12:46,640
function if you know someone in the you know, not

1497
01:12:46,680 --> 01:12:49,920
to necessarily say it's limited to younger population, but you know,

1498
01:12:50,000 --> 01:12:52,279
I do have older gentlemen too, who you know, they

1499
01:12:52,359 --> 01:12:55,800
just they get a few bad performances and it's you

1500
01:12:55,920 --> 01:12:57,239
remember the last.

1501
01:12:57,000 --> 01:12:59,319
Speaker 3: Time, right, your Yelp review goes down, it's.

1502
01:12:59,239 --> 01:13:03,319
Speaker 5: Terrible, right, you're three stars. It's it stays in your

1503
01:13:03,319 --> 01:13:06,640
head and you get performance anxiety. And it doesn't mean

1504
01:13:06,680 --> 01:13:10,079
you're hyperventilating and sweating and all nervous and everything. It's

1505
01:13:10,119 --> 01:13:11,720
just things you're thinking about in your head.

1506
01:13:11,800 --> 01:13:14,159
Speaker 1: It's just like you so much does she does she know?

1507
01:13:14,520 --> 01:13:16,199
Speaker 5: Like? Oh, does she figure it out? And then and

1508
01:13:16,239 --> 01:13:18,560
then if you know, if if the question gets asked,

1509
01:13:18,600 --> 01:13:21,439
are you okay you're done. You know, it's it's very

1510
01:13:21,439 --> 01:13:24,640
difficult to recover after Oh my spouse knows, you know,

1511
01:13:24,880 --> 01:13:27,479
and you know, so it it. But you know, getting

1512
01:13:27,479 --> 01:13:30,600
back to it, you know, if someone has more psychogenic

1513
01:13:30,680 --> 01:13:33,800
erect how dysfunction, that's in general, it's almost like the

1514
01:13:33,840 --> 01:13:37,119
best kind of have sure that that you can reverse,

1515
01:13:37,520 --> 01:13:43,359
you know with clinical therapy, a new partner that you know,

1516
01:13:43,760 --> 01:13:52,399
it can go uh, prostitution, see a therapist. So yeah,

1517
01:13:52,439 --> 01:13:55,159
but all joking aside, that's you know, it's a real thing.

1518
01:13:55,239 --> 01:13:58,560
Speaker 3: It is, you know. Yeah, I always wondered like what

1519
01:13:58,600 --> 01:14:00,560
are they like a sex.

1520
01:14:00,399 --> 01:14:02,399
Speaker 2: Starvers, like what do they talk about? What are these things?

1521
01:14:02,479 --> 01:14:06,199
But it is really getting into probably taking you to

1522
01:14:06,279 --> 01:14:09,920
the moment and nobody no guys, I don't I shouldn't

1523
01:14:09,960 --> 01:14:13,920
say no guys. I think many men are uncomfortable talking

1524
01:14:13,920 --> 01:14:14,560
about that.

1525
01:14:14,520 --> 01:14:16,760
Speaker 5: Right, And it's you know, and again yes, it's the moment,

1526
01:14:16,800 --> 01:14:19,680
but it's more about like what leads up to that, right,

1527
01:14:19,720 --> 01:14:22,319
you know, it can be some deep seated things. There's

1528
01:14:22,319 --> 01:14:25,479
a lot of people who have had traumatic experiences and

1529
01:14:25,520 --> 01:14:27,560
you know that's it's good in the right you know,

1530
01:14:27,600 --> 01:14:29,920
professional hands to get that out and you know what

1531
01:14:29,960 --> 01:14:31,880
do I do with it, you know, And I tell

1532
01:14:32,000 --> 01:14:33,720
you know patients too, you know, if I if I

1533
01:14:33,800 --> 01:14:37,359
recommend that you know, and there's certain you know, it's

1534
01:14:37,439 --> 01:14:39,680
not there's not a blood test for it right now.

1535
01:14:39,840 --> 01:14:43,199
So you're you're at the mercy of your provider who's

1536
01:14:43,439 --> 01:14:46,520
watching how you communicate. What's your body language like, you know,

1537
01:14:46,560 --> 01:14:48,880
what what's your other past medical history? You know, and

1538
01:14:48,920 --> 01:14:50,640
if they are able to pick out, like you know,

1539
01:14:50,920 --> 01:14:53,319
I think there might be some psychogenic you know, issues

1540
01:14:53,319 --> 01:14:56,159
here to talk about. If you get to the right therapist,

1541
01:14:56,359 --> 01:14:59,159
they're gonna help get that out. I don't know what to.

1542
01:14:59,119 --> 01:15:00,520
Speaker 1: Say, Like, you don't have to worry about that.

1543
01:15:00,600 --> 01:15:02,600
Speaker 5: You just have to go there, you know, and and

1544
01:15:02,680 --> 01:15:04,760
the right therapist is going to help get that out

1545
01:15:04,920 --> 01:15:05,399
for you.

1546
01:15:05,479 --> 01:15:09,359
Speaker 2: Yeah, it's all I think really interesting. I appreciate you

1547
01:15:09,399 --> 01:15:11,560
coming in because I do think that these are things.

1548
01:15:11,680 --> 01:15:14,039
Speaker 1: Yes, you have one question, and I'm not I'm not

1549
01:15:14,079 --> 01:15:16,439
shy about asking this. When I go to a Bills game,

1550
01:15:16,479 --> 01:15:18,439
if there's no line at the bathroom, I can go.

1551
01:15:18,840 --> 01:15:20,840
But if I just like people beside me, are people

1552
01:15:20,960 --> 01:15:23,720
behind me? Like that shy bladder syndrome thing?

1553
01:15:23,840 --> 01:15:24,000
Speaker 2: Is that?

1554
01:15:24,199 --> 01:15:25,039
Speaker 1: Is that a real thing?

1555
01:15:26,079 --> 01:15:28,000
Speaker 5: Yeah, it's just you.

1556
01:15:28,000 --> 01:15:30,840
Speaker 1: You're I have the doctor. I didn't ask you.

1557
01:15:30,920 --> 01:15:33,760
Speaker 2: Yeah, well I get the same way at a troth

1558
01:15:33,880 --> 01:15:36,920
because somebody sprays at a Bills game, right, Yeah, I

1559
01:15:37,000 --> 01:15:37,399
can't go.

1560
01:15:38,199 --> 01:15:39,600
Speaker 5: Are they going to have those at the new stadium?

1561
01:15:39,680 --> 01:15:45,159
I hope troughs troughs, But yeah, it's you know, there're

1562
01:15:45,159 --> 01:15:47,039
gonna be tension and you know a certain things you

1563
01:15:47,039 --> 01:15:48,880
gotta be able to relax. You know, the the bladder

1564
01:15:48,960 --> 01:15:51,479
does its thing. It's not gravity. You know, there's there's

1565
01:15:51,520 --> 01:15:54,159
certain you know, neurologic things that happen, and you know,

1566
01:15:54,199 --> 01:15:57,359
the bladder muscle squeezes, and you're also your pelvic muscles

1567
01:15:57,399 --> 01:15:59,359
need to relax. You know, if you're tight down there,

1568
01:15:59,399 --> 01:16:00,760
it's it's not going to happen.

1569
01:16:00,920 --> 01:16:04,319
Speaker 2: You You mentioned pelvic floor a few times, and I

1570
01:16:04,359 --> 01:16:08,600
think keegel was something that was talked to more for women,

1571
01:16:08,760 --> 01:16:13,039
right or or I've known more of women to do that.

1572
01:16:13,560 --> 01:16:16,039
Is it something men should do as well? Pelvic floor

1573
01:16:16,119 --> 01:16:17,159
exercises for sure?

1574
01:16:17,279 --> 01:16:21,000
Speaker 5: Yeah, you know, and that's you know something where you know,

1575
01:16:21,079 --> 01:16:23,399
Dan talked about all these exercise in this device and

1576
01:16:23,439 --> 01:16:25,760
that device, and you know, you know, I coach my

1577
01:16:25,840 --> 01:16:28,560
patients through some of this. Some have bladder problems, urgency,

1578
01:16:28,680 --> 01:16:30,760
you know, just like you know anybody else.

1579
01:16:30,840 --> 01:16:31,079
Speaker 2: Women.

1580
01:16:31,920 --> 01:16:34,319
Speaker 5: You know, sometimes having a good balance public floor can help,

1581
01:16:34,359 --> 01:16:37,359
you know, get out of trouble with that. Sometimes there's

1582
01:16:37,560 --> 01:16:40,520
you know, certain things in sexual function where you know,

1583
01:16:40,600 --> 01:16:44,119
talking about climaxing too early, you know, you know, sometimes

1584
01:16:44,119 --> 01:16:46,880
it can be an imbalanced pelvic floor as well. But

1585
01:16:46,960 --> 01:16:49,439
keegel exercises, if you're doing them right, you can be

1586
01:16:49,479 --> 01:16:51,399
staring right at somebody and you're not going to know

1587
01:16:51,600 --> 01:16:53,840
that they're doing it. It's it's an internal you know,

1588
01:16:53,920 --> 01:16:57,199
contraction Basically. It's like if if you're doing a keegel exercise,

1589
01:16:57,239 --> 01:16:59,640
if you're pean, if you can stop your you're in

1590
01:16:59,640 --> 01:17:03,359
the middle peeing, that's a key exercise. Oh but you know,

1591
01:17:03,720 --> 01:17:06,600
having the ability to have that control but also relax

1592
01:17:07,600 --> 01:17:09,880
you know, sometimes if the pelvic floor gets too tight,

1593
01:17:10,039 --> 01:17:12,760
you know, that can cause down there too, you need

1594
01:17:12,800 --> 01:17:14,079
to you know, relax that.

1595
01:17:14,319 --> 01:17:16,079
Speaker 3: Yeah, it's a great party trick. They didn't they do

1596
01:17:16,119 --> 01:17:16,479
that then?

1597
01:17:16,880 --> 01:17:19,319
Speaker 2: Was it a Yankee player at the Milwaukee Stadium Where

1598
01:17:19,560 --> 01:17:21,840
a Milwaukee fan at the Yankee.

1599
01:17:21,560 --> 01:17:23,800
Speaker 1: City is a Milwaukee fan. I think at the Yankee.

1600
01:17:23,560 --> 01:17:25,760
Speaker 2: Stadium where they just started to.

1601
01:17:26,119 --> 01:17:28,560
Speaker 1: Yeah, just whipped it out and just started urineating all.

1602
01:17:28,359 --> 01:17:32,279
Speaker 2: Over right, right, yeah.

1603
01:17:31,199 --> 01:17:33,880
Speaker 5: Like the concourse, Like you said that, the breadth of

1604
01:17:33,920 --> 01:17:36,319
your knowledge about this stuff is fascinating.

1605
01:17:36,399 --> 01:17:40,520
Speaker 1: Yeah, sis, oh yeah, students of pop culture.

1606
01:17:40,600 --> 01:17:43,039
Speaker 5: It's always been fascinated since I've known you.

1607
01:17:43,199 --> 01:17:45,119
Speaker 1: Yeah, yeah, I know a lot of stuff I just

1608
01:17:45,159 --> 01:17:46,920
you know, can't yeah succeeding like I don't know.

1609
01:17:47,199 --> 01:17:50,640
Speaker 3: Uh, all right, we will take a moment. Feel free

1610
01:17:50,640 --> 01:17:51,199
to stick around.

1611
01:17:51,239 --> 01:17:53,960
Speaker 2: We've got There were some other things I wanted to

1612
01:17:54,560 --> 01:17:59,359
uh bring up. One was this young teacher who said,

1613
01:17:59,520 --> 01:18:01,319
I think we talked about her once before, but she's

1614
01:18:01,359 --> 01:18:04,920
back in the news. Who says she's too hot. That's

1615
01:18:04,960 --> 01:18:06,079
why she's being accused.

1616
01:18:06,399 --> 01:18:07,880
Speaker 1: The hot girl, the hot teacher.

1617
01:18:08,119 --> 01:18:08,640
Speaker 3: Hot teacher.

1618
01:18:09,359 --> 01:18:14,640
Speaker 2: Yes, attractiveness, right, a little narcissistic, but we will we'll

1619
01:18:14,680 --> 01:18:15,039
touch on.

1620
01:18:15,039 --> 01:18:17,520
Speaker 1: Can't be as narcissistic as snow white recently.

1621
01:18:17,920 --> 01:18:20,439
Speaker 3: I haven't. We will touch on all that when we

1622
01:18:20,520 --> 01:18:20,920
get back.

1623
01:18:21,279 --> 01:18:24,760
Speaker 2: It's time to explore the world of legal recreational cannabis

1624
01:18:25,119 --> 01:18:29,039
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1625
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1647
01:19:45,680 --> 01:19:51,560
Sheila Tillic because true healing begins from within. Hey girl,

1648
01:19:52,079 --> 01:19:57,520
I got sucked UoT, so just sit down and listen.

1649
01:19:59,159 --> 01:20:02,439
Speaker 1: Gurd you know, make care though such a no no

1650
01:20:02,920 --> 01:20:05,960
time now.

1651
01:20:07,439 --> 01:20:10,840
Speaker 5: To wow.

1652
01:20:11,399 --> 01:20:13,600
Speaker 2: You know is Christmas and.

1653
01:20:13,680 --> 01:20:19,199
Speaker 3: My heart is hoop and why gonna give you know

1654
01:20:19,439 --> 01:20:20,960
what's on my mind?

1655
01:20:22,359 --> 01:20:28,720
Speaker 2: I forgot that it was Kristen wiggusin try take a

1656
01:20:28,800 --> 01:20:40,199
book inside is like the problem is like you could

1657
01:20:40,399 --> 01:20:43,680
could you go out with Kristen wig and take her seriously?

1658
01:20:44,439 --> 01:20:45,119
Speaker 3: Like would you.

1659
01:20:45,079 --> 01:20:47,720
Speaker 2: Think I would think I wouldn't be able to tell

1660
01:20:47,720 --> 01:20:49,479
if she was being serious or she you know what

1661
01:20:49,520 --> 01:20:49,760
I mean?

1662
01:20:49,920 --> 01:20:53,680
Speaker 1: I think that she is probably everybody gives Tina Fey

1663
01:20:53,920 --> 01:20:56,399
and Amy Poehler all the credit. I think Kristen wigg

1664
01:20:56,479 --> 01:20:59,000
is actually right up there with him, if not better,

1665
01:20:59,039 --> 01:21:02,439
because she could play anything. Yeah, like Tina Fey, you're

1666
01:21:02,439 --> 01:21:05,000
waiting for the punchline. Amy Pohler, you're waiting for the

1667
01:21:05,000 --> 01:21:08,640
punch light. With her, you don't know, like she can

1668
01:21:08,760 --> 01:21:13,279
totally like you know, punk you out, you have no idea.

1669
01:21:13,600 --> 01:21:18,960
Yeah from Brighton, New York. But you did this song, yes, Dan,

1670
01:21:19,039 --> 01:21:21,520
and I yes did this song. I don't remember if

1671
01:21:21,560 --> 01:21:23,279
I if you did. Did you do Timberlake and I

1672
01:21:23,319 --> 01:21:24,880
did Samberg? Or what was the place for?

1673
01:21:25,000 --> 01:21:25,159
Speaker 3: Yeah?

1674
01:21:25,199 --> 01:21:27,079
Speaker 5: I was I was a Timberlake the backup.

1675
01:21:26,800 --> 01:21:30,079
Speaker 1: Yeah for that one. Yeah. Yeah, we did that song

1676
01:21:30,119 --> 01:21:31,039
back in like oh seven.

1677
01:21:31,239 --> 01:21:32,119
Speaker 3: That is great.

1678
01:21:32,279 --> 01:21:34,319
Speaker 1: Yeah, how fun I believe it was.

1679
01:21:35,800 --> 01:21:36,880
Speaker 2: That's really funny.

1680
01:21:37,479 --> 01:21:40,000
Speaker 1: We had this guy from Mochester, like this guitar player

1681
01:21:40,039 --> 01:21:41,640
just show up and start playing and then he just

1682
01:21:41,680 --> 01:21:43,479
took over the song. And Dan I are looking at

1683
01:21:43,560 --> 01:21:46,920
each Yeah, like you did like a ten minute solo

1684
01:21:47,000 --> 01:21:49,000
over like leads. Yeah, like people forgot what you were

1685
01:21:49,000 --> 01:21:49,600
singing the song.

1686
01:21:52,039 --> 01:21:53,359
Speaker 5: Well, wow, there's a musician.

1687
01:21:53,680 --> 01:21:58,520
Speaker 2: Yeah, this is something happens. I saw this story. I

1688
01:21:59,119 --> 01:22:00,680
want to get to this story. Let me see if

1689
01:22:00,720 --> 01:22:02,760
I actually did grab the audio from.

1690
01:22:02,640 --> 01:22:03,000
Speaker 5: It or not.

1691
01:22:03,399 --> 01:22:06,199
Speaker 7: Ganny County woman found out she won the lottery okay,

1692
01:22:06,359 --> 01:22:09,079
and then realized she lost the ticket. She left it

1693
01:22:09,119 --> 01:22:11,920
in an old jacket that she donated to charity.

1694
01:22:12,319 --> 01:22:14,920
Speaker 1: Bullshit, that was an episode of The Golden Girls.

1695
01:22:15,000 --> 01:22:18,920
Speaker 2: Oh shit, well you got I don't know this lady,

1696
01:22:18,960 --> 01:22:20,920
is claiming that she lost the winning ticket.

1697
01:22:21,359 --> 01:22:24,600
Speaker 3: How would you know that you had the winning ticket if.

1698
01:22:24,479 --> 01:22:27,439
Speaker 2: You don't have Ganny County the ticket in your possession.

1699
01:22:27,520 --> 01:22:28,720
Speaker 3: The only way, no sense.

1700
01:22:28,760 --> 01:22:30,720
Speaker 1: The only way I could see that is if you

1701
01:22:30,800 --> 01:22:33,680
play the same five or six numbers every week and

1702
01:22:33,760 --> 01:22:36,479
have for years. Yeah that makes sense, okay, But like

1703
01:22:36,520 --> 01:22:37,960
there are these two guys in England back in the

1704
01:22:38,039 --> 01:22:38,640
nineties who.

1705
01:22:38,600 --> 01:22:40,600
Speaker 2: Like played the lot put it in a jacket, and

1706
01:22:40,640 --> 01:22:41,800
then I donated it.

1707
01:22:42,159 --> 01:22:44,720
Speaker 1: Yeah, it's ridiculous. Yes, I'm just trying to give you,

1708
01:22:44,760 --> 01:22:46,319
like the one percent chance.

1709
01:22:47,119 --> 01:22:47,920
Speaker 3: Let me hear the rest of this.

1710
01:22:47,960 --> 01:22:50,520
Speaker 7: Because Janny County woman found out she won the lottery

1711
01:22:51,079 --> 01:22:53,800
and then realized she lost the ticket. She left it

1712
01:22:53,840 --> 01:22:56,680
in an old jacket that she donated to charity.

1713
01:22:57,279 --> 01:23:00,800
Speaker 8: Talk about a nightmare. The winning lottery ticket. It it's

1714
01:23:00,800 --> 01:23:04,399
not a small one. It's worth two point five million dollars.

1715
01:23:04,720 --> 01:23:07,439
Her name is Mildred Simona Rouluto, and she says she

1716
01:23:07,520 --> 01:23:09,920
bought the ticket at a grocery store last May.

1717
01:23:10,039 --> 01:23:11,239
Speaker 1: It sounds like somebody would do that.

1718
01:23:11,359 --> 01:23:14,760
Speaker 8: Hey, I won, but where's the ticket. That's when she

1719
01:23:14,840 --> 01:23:16,840
remembered she had put it inside a jacket that she

1720
01:23:16,960 --> 01:23:19,359
donated to Vietnam Veterans of America.

1721
01:23:20,000 --> 01:23:24,960
Speaker 5: I was stupid, fuck, I was theres no words for it.

1722
01:23:24,960 --> 01:23:26,560
It was like beyond it's fortunate.

1723
01:23:26,800 --> 01:23:28,119
Speaker 1: How can I get it back?

1724
01:23:29,119 --> 01:23:33,199
Speaker 7: The organization donates clothing around the world, so that jacket

1725
01:23:33,319 --> 01:23:37,840
could be anywhere. PA lottery officials told Simoni Riluto she

1726
01:23:38,000 --> 01:23:38,680
must have the.

1727
01:23:38,680 --> 01:23:43,800
Speaker 2: Tic covering some kid in a It inspires on May eight.

1728
01:23:43,880 --> 01:23:46,880
Speaker 3: Some kid in the Chiefs winning Super Bowl.

1729
01:23:47,439 --> 01:23:51,039
Speaker 1: Four Bill's winning super Bowl. Yeah you know, I mean

1730
01:23:51,079 --> 01:23:54,520
it's funny, like Mildred Chicluso or whatever. Okay, Like my

1731
01:23:54,560 --> 01:23:57,239
aunt Millie, like won a lottery ticket, but she put

1732
01:23:57,239 --> 01:23:59,640
it in the jacket she gave away to charity. That

1733
01:23:59,720 --> 01:24:01,760
was an episode of The Golden Girls. Sophia did the

1734
01:24:01,800 --> 01:24:04,000
same thing. She had a winning lottery ticket. She's put

1735
01:24:04,079 --> 01:24:06,119
in a jacket they donated. They'd up sleeping, had a

1736
01:24:06,119 --> 01:24:08,600
homeless shelter that night, and at the end of the episode,

1737
01:24:08,760 --> 01:24:11,359
the priest who's running the homeless shelter, father, these people

1738
01:24:11,399 --> 01:24:12,920
need this lottery ticket more than I do.

1739
01:24:13,119 --> 01:24:16,600
Speaker 2: Why why do you remember? I remember all the details

1740
01:24:16,640 --> 01:24:18,039
of The Golden Girls.

1741
01:24:18,239 --> 01:24:20,159
Speaker 1: My wife and I actually like watch it when she

1742
01:24:20,199 --> 01:24:21,560
wants to go to like, so she has to have

1743
01:24:21,600 --> 01:24:22,640
the TV when she goes to bed.

1744
01:24:22,720 --> 01:24:23,640
Speaker 3: When is this still on?

1745
01:24:23,840 --> 01:24:26,159
Speaker 1: Oh, it's like it's on Lifetime. I think it's on

1746
01:24:26,239 --> 01:24:29,319
the Hallmark channel or one of those channels, because all

1747
01:24:29,359 --> 01:24:31,399
these channels basically just promote each other. Now they're all

1748
01:24:31,399 --> 01:24:34,319
on about like four companies. So but yeah, the Golden

1749
01:24:34,359 --> 01:24:39,359
Girls are on like uh binge. It was after he

1750
01:24:39,439 --> 01:24:40,960
finished Three Company.

1751
01:24:41,039 --> 01:24:43,359
Speaker 2: Yeah, I'm such a I love that you do that.

1752
01:24:43,439 --> 01:24:47,319
But now there were some internet rumors that they were

1753
01:24:47,319 --> 01:24:49,680
gonna bring back the Golden Girls.

1754
01:24:50,800 --> 01:24:51,520
Speaker 5: Yeah, I heard about it.

1755
01:24:51,920 --> 01:24:54,039
Speaker 2: Well, I don't know if it was ever real or

1756
01:24:54,079 --> 01:24:56,800
somebody fantasized this and they put it on social media.

1757
01:24:56,880 --> 01:24:59,039
Speaker 3: But Maya Rudolph was going to be part of it.

1758
01:25:00,239 --> 01:25:02,840
Speaker 1: Lisa kudriz Hev from Friends was gonna be on it and.

1759
01:25:02,760 --> 01:25:07,079
Speaker 3: She was gonna play I think who was. They're gonna

1760
01:25:07,079 --> 01:25:11,760
be the daughter of Rose's granddaughter. Yeah, yeah, Roses granddaughter.

1761
01:25:11,800 --> 01:25:14,920
Speaker 2: And then but they're also in their fifties now themselves,

1762
01:25:15,079 --> 01:25:17,640
which I think the Golden Girls were in their fifties

1763
01:25:17,640 --> 01:25:18,439
when that show started.

1764
01:25:18,479 --> 01:25:21,279
Speaker 1: Oh, they're in their sixties. They played people in their fifties.

1765
01:25:21,359 --> 01:25:24,680
I looked it up. Oh, because I'm like, are you sure, yes,

1766
01:25:25,279 --> 01:25:28,000
Blanche I think was the youngest at the time, Blanche

1767
01:25:28,119 --> 01:25:30,439
or Sophia because Sophia wore a wig and actually was

1768
01:25:30,439 --> 01:25:33,640
one of the younger ones. Be Arthur and Betty White

1769
01:25:33,640 --> 01:25:38,199
were the oldest, and then Rue McClanahan and then Stelle Getty.

1770
01:25:38,439 --> 01:25:40,640
By the way, the entire cast of The Golden Girls,

1771
01:25:40,680 --> 01:25:42,319
like everybody, not just the girls, but even like the

1772
01:25:42,359 --> 01:25:44,399
guests and all that stuff, most of them are all dead.

1773
01:25:45,039 --> 01:25:46,680
I mean, the show wasn't off the air that long,

1774
01:25:46,720 --> 01:25:49,319
and it ended in ninety three. It feels like yesterday.

1775
01:25:49,720 --> 01:25:52,520
But I remember every Saturday night Graham was watching us.

1776
01:25:52,680 --> 01:25:55,279
We're watching The Golden Girls and all the dirty jokes

1777
01:25:55,319 --> 01:25:57,039
we didn't get the gut over our heads. Grand would

1778
01:25:57,079 --> 01:26:00,920
start laughing, yeah, and we'd laughed because, oh it's funny. No,

1779
01:26:00,960 --> 01:26:02,720
you didn't get the joke. We're just laughing because Graham

1780
01:26:02,840 --> 01:26:04,880
is laughing. And then you get older, you're like, oh,

1781
01:26:04,960 --> 01:26:05,760
that's what they meant.

1782
01:26:05,960 --> 01:26:09,960
Speaker 2: Okay, Well, anyway, I think that that story that lady

1783
01:26:10,000 --> 01:26:13,119
is trying to pull a scam and get some sympathy.

1784
01:26:13,439 --> 01:26:16,359
I'm waiting for the go fund means to happen. For

1785
01:26:16,439 --> 01:26:18,640
the the lost lottery ticket.

1786
01:26:18,800 --> 01:26:22,640
Speaker 1: It sounds like something a Mildred would do exactly, and

1787
01:26:22,680 --> 01:26:24,760
a story a Mildred would make. I had a big go.

1788
01:26:25,560 --> 01:26:26,520
I had a big go.

1789
01:26:26,920 --> 01:26:30,439
Speaker 2: Danny had breaking news that we may be losing a

1790
01:26:30,520 --> 01:26:31,000
running back.

1791
01:26:31,319 --> 01:26:34,680
Speaker 1: James Cook, Buffalo Bill's running back, has put his Orchard

1792
01:26:34,680 --> 01:26:38,000
Park house up for sale after Brandon Bean earlier this

1793
01:26:38,039 --> 01:26:41,359
week said that he doesn't see foresee any more contract negotiations.

1794
01:26:41,359 --> 01:26:46,079
The Bills have. Actually rees are extended six different players,

1795
01:26:46,159 --> 01:26:48,039
just not their running back, who wasn't on the field

1796
01:26:48,039 --> 01:26:49,359
in the last nine and a half minutes of the

1797
01:26:49,359 --> 01:26:53,039
AFC Championship came And I can understand James Cook. His

1798
01:26:53,079 --> 01:26:56,039
brother's Dalvin. He wants to get paid. His brother, like

1799
01:26:56,079 --> 01:26:58,640
you know, wanted to get paid. The thing is running

1800
01:26:58,640 --> 01:27:02,000
backs nowadays with today's NFL or a Diamond dozen and

1801
01:27:02,039 --> 01:27:04,079
he has like Ray Davis is right behind him, so

1802
01:27:04,199 --> 01:27:06,159
is Ty Johnson. They could grab somebody on the draft

1803
01:27:06,239 --> 01:27:08,399
or off the street and replace James Cook.

1804
01:27:09,079 --> 01:27:11,720
Speaker 3: I mean that the had some great games, but don't.

1805
01:27:11,560 --> 01:27:13,039
Speaker 1: Get me wrong, he was the second best player that

1806
01:27:13,119 --> 01:27:15,800
AFC Championship. The problem is that if you're not on

1807
01:27:15,840 --> 01:27:18,359
the field in the game's biggest moments. How valuable are

1808
01:27:18,399 --> 01:27:18,880
you not?

1809
01:27:19,119 --> 01:27:20,159
Speaker 5: Very like that was the knocker.

1810
01:27:20,199 --> 01:27:22,199
Speaker 1: Willis McGahee, like, why isn't he on the field in

1811
01:27:22,199 --> 01:27:23,800
the late fourth court because he can't pass block on

1812
01:27:23,920 --> 01:27:26,960
third down? So once your your best player is if

1813
01:27:26,960 --> 01:27:28,359
he's in the backfield, If he's not in the game,

1814
01:27:28,359 --> 01:27:32,079
that means they're throwing dead right, you're throwing because he

1815
01:27:32,119 --> 01:27:37,880
can't dead giveaway? You know, the buill didn't have to

1816
01:27:37,920 --> 01:27:39,920
like go no huddle. No, they could have run a

1817
01:27:39,920 --> 01:27:41,600
four minute offense and won the freaking game, or at

1818
01:27:41,640 --> 01:27:43,760
least kicked the field going tight and said it the overtime.

1819
01:27:44,039 --> 01:27:46,159
I'm sorry that I get like really ticked off.

1820
01:27:46,159 --> 01:27:48,840
Speaker 2: What it comes to is right there with you, Yeah,

1821
01:27:48,880 --> 01:27:50,359
are you a big sports fan?

1822
01:27:50,640 --> 01:27:53,800
Speaker 3: Were you, like, uh, to Dan's level?

1823
01:27:53,840 --> 01:27:56,039
Speaker 1: Maybe he tried off for the Tour de France.

1824
01:27:56,520 --> 01:27:57,439
Speaker 2: Did you really are you?

1825
01:27:57,600 --> 01:27:59,319
Speaker 3: Were you a.

1826
01:27:58,640 --> 01:28:03,119
Speaker 5: Cyclist cyclist now not in to that capacity.

1827
01:28:02,640 --> 01:28:04,680
Speaker 1: There and we did a twenty four hour race here.

1828
01:28:04,600 --> 01:28:09,439
Speaker 5: Didn't you at the twenty four hour the downtime criteria. Yeah,

1829
01:28:09,640 --> 01:28:11,800
there's a one year that I got it was a

1830
01:28:11,840 --> 01:28:14,880
pro category one two race, and there was one year

1831
01:28:15,000 --> 01:28:18,279
where they had category twos in that race with a pros.

1832
01:28:18,680 --> 01:28:20,319
So I was a you know, lined up under the

1833
01:28:20,399 --> 01:28:23,479
lights and you know people around, you know, it was

1834
01:28:23,600 --> 01:28:26,680
it was a crazy environment. Yeah, it's like that whole

1835
01:28:26,680 --> 01:28:27,720
city used to come down there.

1836
01:28:27,720 --> 01:28:30,680
Speaker 2: That was a really cool event. Yeah, and it was like,

1837
01:28:30,720 --> 01:28:32,079
I mean those bikes were tight.

1838
01:28:32,279 --> 01:28:36,520
Speaker 5: Yeah, it's maneuver, it's fun. It's just muscle memory. But

1839
01:28:36,560 --> 01:28:38,399
I didn't do very well. You know, I was, you know,

1840
01:28:38,680 --> 01:28:40,880
so riding, but you did it half my age, and

1841
01:28:40,920 --> 01:28:42,520
you know, it's just you hang on a little bit

1842
01:28:42,560 --> 01:28:45,239
and there's a big slinky that happens. You get towards

1843
01:28:45,239 --> 01:28:47,800
the back and when you're going around a right angle corner,

1844
01:28:48,199 --> 01:28:50,159
you know, it slows down a lot of whiplash in

1845
01:28:50,159 --> 01:28:52,319
the back and you're you're riding twice as hard from

1846
01:28:52,359 --> 01:28:53,920
the back as the guys in the front. But it's

1847
01:28:54,039 --> 01:28:56,680
just to keep up to that level, it's just you

1848
01:28:56,760 --> 01:28:59,199
got to put yourself somewhere where you've never been before

1849
01:28:59,239 --> 01:29:00,199
to get up there.

1850
01:29:00,920 --> 01:29:03,079
Speaker 2: My old neighbor was part of the bud Light team

1851
01:29:04,119 --> 01:29:07,279
years ago, and he trained out and aspen and stuff.

1852
01:29:07,680 --> 01:29:09,960
He would jump on his bike and he was older

1853
01:29:09,960 --> 01:29:12,560
than I was, and I was probably in my mid

1854
01:29:12,600 --> 01:29:14,760
to late thirties when I when he was my neighbor.

1855
01:29:15,680 --> 01:29:17,439
He would jump on his bike and crank out ninety

1856
01:29:17,479 --> 01:29:18,479
miles in the morning.

1857
01:29:18,479 --> 01:29:21,600
Speaker 5: There's a training ride problem weekends. Yeah, that's like nothing.

1858
01:29:21,880 --> 01:29:22,680
Speaker 3: What is the hill?

1859
01:29:22,800 --> 01:29:26,439
Speaker 2: You probably know it along Canadate with Lake Down, I

1860
01:29:26,479 --> 01:29:28,319
believe the west side of the lake.

1861
01:29:29,159 --> 01:29:29,399
Speaker 3: Yeah.

1862
01:29:29,640 --> 01:29:34,199
Speaker 2: Is it like it's one of the I don't know

1863
01:29:34,279 --> 01:29:36,199
in terms of a grade. It's supposed to be one

1864
01:29:36,239 --> 01:29:40,039
of the toughest in the been a while. I want

1865
01:29:40,039 --> 01:29:43,520
to misspeak. Yeah, I didn't want to misspeak.

1866
01:29:43,159 --> 01:29:44,920
Speaker 5: But yeah, I don't put hair on your chest.

1867
01:29:45,000 --> 01:29:47,159
Speaker 3: Yeah. He would ride that like up.

1868
01:29:47,359 --> 01:29:50,319
Speaker 5: Yeah, and it's it's not an easy ride to get

1869
01:29:50,359 --> 01:29:52,680
there either, you know. No, it's not like you, you know,

1870
01:29:52,880 --> 01:29:54,119
drive your car to the bottom of the hill and

1871
01:29:54,279 --> 01:29:54,600
didn't go.

1872
01:29:54,880 --> 01:29:58,319
Speaker 1: Wasn't there like a hill that Stephanie I tried riding

1873
01:29:58,319 --> 01:30:00,520
out with Turk Hill. Yeah, I mean that's it's nuts too.

1874
01:30:00,520 --> 01:30:03,079
Speaker 3: Well, Turkyo is big, but this is like.

1875
01:30:03,039 --> 01:30:06,279
Speaker 2: It was gradually getting It's almost like I think it's

1876
01:30:06,680 --> 01:30:09,800
almost like a It's very steep, steep up and down.

1877
01:30:09,960 --> 01:30:12,079
Speaker 5: Yeah, and you're not sitting on your bike.

1878
01:30:12,199 --> 01:30:15,279
Speaker 2: And this guy, I remember, he would come over with

1879
01:30:15,319 --> 01:30:16,079
his kids once in a while.

1880
01:30:16,119 --> 01:30:17,520
Speaker 3: We had a pool he could do.

1881
01:30:18,399 --> 01:30:20,680
Speaker 2: Uh it wasn't I think it was like sixteen by

1882
01:30:20,760 --> 01:30:24,000
thirty two pool. But he would swim underwater from the

1883
01:30:24,039 --> 01:30:27,479
shallow end deep end and back without.

1884
01:30:27,279 --> 01:30:30,399
Speaker 1: Breaking his breath. Yeah, holding his breath. Yeah, yeah, yeah,

1885
01:30:30,439 --> 01:30:32,000
I thought you're gonna say he did the et over

1886
01:30:32,000 --> 01:30:32,399
my house.

1887
01:30:33,119 --> 01:30:35,880
Speaker 2: He didn't know. It was amazing, Like the guy had

1888
01:30:35,920 --> 01:30:37,479
and when and I said to him, once I go

1889
01:30:37,680 --> 01:30:39,920
one time, He's like he's just standing there in shorts

1890
01:30:40,000 --> 01:30:40,319
or something.

1891
01:30:40,359 --> 01:30:41,279
Speaker 3: I go, holy Christ.

1892
01:30:41,479 --> 01:30:45,840
Speaker 2: He looked like my kid's action figures his legs, upper body. Yeah,

1893
01:30:45,880 --> 01:30:48,600
but this is yeah. And the guy did like he

1894
01:30:48,720 --> 01:30:51,960
was really into cool shit. Like he had a kayak

1895
01:30:52,159 --> 01:30:55,119
that I tried to sit in in shallow water in

1896
01:30:55,680 --> 01:30:59,199
Lake Ontario. You had to have it was like so

1897
01:31:00,319 --> 01:31:03,239
balanced and it was all about core strength. He would

1898
01:31:03,319 --> 01:31:06,279
drop that in the canal at Bushnail's basin and he

1899
01:31:06,319 --> 01:31:09,560
would row out to work. He worked at Kodak, but

1900
01:31:09,680 --> 01:31:12,520
the Greece office, and he would he would paddle out

1901
01:31:12,920 --> 01:31:15,399
and then paddle back. That's what he did for That's

1902
01:31:15,399 --> 01:31:17,800
how he went to work some mornings. I'm not kidding,

1903
01:31:18,720 --> 01:31:22,600
but yeah, by this. But the kayak that was, honest

1904
01:31:22,640 --> 01:31:25,399
to god, damn, I couldn't sit in it.

1905
01:31:24,920 --> 01:31:25,960
Speaker 3: Like I have a kayak.

1906
01:31:26,159 --> 01:31:27,640
Speaker 1: Well, so you feel like you did to tip over

1907
01:31:27,720 --> 01:31:28,520
one side or the other.

1908
01:31:28,680 --> 01:31:31,319
Speaker 3: No, you do tip like I couldn't. I tipped.

1909
01:31:31,840 --> 01:31:33,760
Speaker 2: You had to have it was like one of the

1910
01:31:34,479 --> 01:31:37,359
shallowest shells. It was practically to the water. I don't

1911
01:31:37,359 --> 01:31:40,399
even understand. And he went and bought this thing on purpose.

1912
01:31:41,159 --> 01:31:43,039
Speaker 3: For Yeah, they say.

1913
01:31:42,960 --> 01:31:46,039
Speaker 1: Rowers have like those biggest hearts, like physically.

1914
01:31:45,800 --> 01:31:48,439
Speaker 3: Yes, why would think cyclists too? And runners?

1915
01:31:48,560 --> 01:31:52,000
Speaker 5: And yeah, the long endurance you know, activity and you're

1916
01:31:52,119 --> 01:31:54,560
you're pushing you know, definitely anaerobic going up that those

1917
01:31:54,640 --> 01:31:57,159
hills like that, and that's that's after you've been riding

1918
01:31:57,199 --> 01:31:57,840
for so long.

1919
01:31:57,920 --> 01:32:01,640
Speaker 2: And what is your here a really odd question, but

1920
01:32:01,880 --> 01:32:05,439
we did talk about somehow cardiovascular health and how it

1921
01:32:05,479 --> 01:32:08,119
all plays in even to your urology to a certain

1922
01:32:08,159 --> 01:32:10,760
extent or at least your penis.

1923
01:32:11,239 --> 01:32:13,560
Speaker 3: What is your resting heart rate? Do you know?

1924
01:32:14,439 --> 01:32:15,319
Speaker 1: Me? Yeah?

1925
01:32:15,479 --> 01:32:16,960
Speaker 5: Oh not not what it used to.

1926
01:32:16,960 --> 01:32:20,479
Speaker 2: Be, so because mine's in the like the mid fifties.

1927
01:32:21,199 --> 01:32:23,680
And then if I can kind of almost get into

1928
01:32:23,720 --> 01:32:26,960
a meditative state about two years ago, I did an

1929
01:32:27,039 --> 01:32:30,319
EKG and the alarms went off because it dropped below

1930
01:32:30,399 --> 01:32:31,199
forty five beats.

1931
01:32:31,560 --> 01:32:33,039
Speaker 3: Yeah, forty five beats a minute. I G.

1932
01:32:33,199 --> 01:32:35,079
Speaker 2: I was down like forty three or four to two.

1933
01:32:36,119 --> 01:32:36,840
Speaker 3: I can do that.

1934
01:32:36,960 --> 01:32:39,159
Speaker 2: And I think a lot of that was I ran

1935
01:32:39,399 --> 01:32:43,000
for many, many years when I was young. I'm over

1936
01:32:43,079 --> 01:32:46,560
weight by twenty forty pounds right now and all this,

1937
01:32:46,640 --> 01:32:48,960
and I still know that my heart rate overall is

1938
01:32:49,000 --> 01:32:50,520
probably a resting rate.

1939
01:32:50,319 --> 01:32:52,399
Speaker 3: Of fifty between fifty two and fifty five.

1940
01:32:53,000 --> 01:32:55,119
Speaker 5: And some of it sometimes it's genetics too, and you

1941
01:32:55,439 --> 01:32:56,960
put the two and two together and you got a

1942
01:32:56,960 --> 01:32:57,920
good Yeah.

1943
01:32:57,960 --> 01:32:59,079
Speaker 3: I'd like to keep it that way.

1944
01:33:00,279 --> 01:33:02,199
Speaker 5: You know, you got some good genetics.

1945
01:33:01,960 --> 01:33:02,640
Speaker 3: Well right there.

1946
01:33:02,680 --> 01:33:04,640
Speaker 2: But I think a lot of it was, you know,

1947
01:33:04,760 --> 01:33:06,960
even the exercise early on, because I ran all the

1948
01:33:07,000 --> 01:33:09,479
time and I loved it. I loved it, and then

1949
01:33:09,880 --> 01:33:12,680
I certainly haven't been doing that lately. I even was

1950
01:33:12,720 --> 01:33:16,560
told by a young child that reached up and touched

1951
01:33:16,560 --> 01:33:18,960
my son, and you got a santabelly.

1952
01:33:20,039 --> 01:33:22,680
Speaker 5: Now that you know it's a cardiovascular exercise is helpful

1953
01:33:22,720 --> 01:33:24,680
for you know downstairs.

1954
01:33:24,279 --> 01:33:26,560
Speaker 2: You gotta get going, man. Yeah, Well, I do spin

1955
01:33:26,600 --> 01:33:29,039
classes once in a while. I love the spins. The

1956
01:33:29,079 --> 01:33:31,319
spin classes are some of my favorite. Been doing a

1957
01:33:31,359 --> 01:33:34,319
lot of endurance in this spin classes. It's important. Yeah,

1958
01:33:34,600 --> 01:33:34,920
get that.

1959
01:33:35,079 --> 01:33:36,039
Speaker 1: Do you still fly planes?

1960
01:33:36,800 --> 01:33:37,960
Speaker 3: Wait? You fly planes?

1961
01:33:38,000 --> 01:33:39,199
Speaker 5: Do fly planes anymore?

1962
01:33:39,359 --> 01:33:40,399
Speaker 3: No? Used to?

1963
01:33:40,600 --> 01:33:41,119
Speaker 1: I used to.

1964
01:33:41,159 --> 01:33:44,520
Speaker 5: I did get my private pilot's license several years after

1965
01:33:44,560 --> 01:33:46,720
I got out of college, because why not?

1966
01:33:47,319 --> 01:33:51,520
Speaker 3: So to fly for fun? For fun?

1967
01:33:51,600 --> 01:33:52,359
Speaker 5: Yeah?

1968
01:33:52,399 --> 01:33:52,920
Speaker 3: Flying what?

1969
01:33:53,640 --> 01:33:54,319
Speaker 5: Single engine?

1970
01:33:54,439 --> 01:33:54,680
Speaker 2: Yeah?

1971
01:33:55,079 --> 01:33:55,800
Speaker 3: My brother was.

1972
01:33:56,000 --> 01:33:59,600
Speaker 2: My brother was flying single engines when he was I

1973
01:33:59,640 --> 01:34:01,960
don't think he had his driver's license yet, out of

1974
01:34:02,000 --> 01:34:05,439
a place called the Rhinebeck Arrow Drone down state. And

1975
01:34:05,560 --> 01:34:10,319
he used to fly over our house and uh, my father,

1976
01:34:11,279 --> 01:34:15,199
My father decided he's just a great man, a little strange,

1977
01:34:15,199 --> 01:34:18,720
a little weird, did everything himself. So he's redoing the roof,

1978
01:34:19,119 --> 01:34:21,680
but it's different, singles coming on, and my brother goes,

1979
01:34:21,720 --> 01:34:22,359
so I flew over the.

1980
01:34:22,359 --> 01:34:24,359
Speaker 3: House that it looks like shit, you gotta gets on.

1981
01:34:30,239 --> 01:34:31,520
I always thought that was so funny.

1982
01:34:31,560 --> 01:34:33,520
Speaker 2: I never would go up with I don't think I

1983
01:34:33,560 --> 01:34:35,319
ever got invited to go up with my brother, but

1984
01:34:35,359 --> 01:34:38,720
I never did. And then he went to Indiana State

1985
01:34:39,439 --> 01:34:43,159
for flight school and then had an engine stall.

1986
01:34:43,279 --> 01:34:45,560
Speaker 3: I thought, and I thought, hit a wind cheer as well.

1987
01:34:45,600 --> 01:34:48,439
Speaker 2: I don't know, but for whatever reason decided this wasn't

1988
01:34:48,520 --> 01:34:49,479
the path he was going to go.

1989
01:34:49,520 --> 01:34:52,319
Speaker 5: And yeah, and you gotta be doing it often. And

1990
01:34:52,319 --> 01:34:53,840
that's why I got out of it. I wasn't. I

1991
01:34:53,880 --> 01:34:56,279
wasn't flying as regularly as I probably should have. You know,

1992
01:34:56,319 --> 01:34:58,600
there's minimums, you know, standards where you have to you know,

1993
01:34:58,680 --> 01:35:01,439
keep current and whatnot. You know, but if you're at

1994
01:35:01,439 --> 01:35:04,159
the level where you're just you know, flying to keep current,

1995
01:35:04,239 --> 01:35:06,359
you know, you got to have everything you know, quick

1996
01:35:06,399 --> 01:35:09,199
and sharp and be able to react to those emergencies.

1997
01:35:09,279 --> 01:35:12,159
Speaker 2: What do you mane you've lived the rock star life.

1998
01:35:12,439 --> 01:35:13,760
Speaker 3: You did your own flying.

1999
01:35:13,920 --> 01:35:17,039
Speaker 1: Here's a photographer at one point, right, probably just the amateur.

2000
01:35:17,239 --> 01:35:18,960
Speaker 2: Yeah, but that that's cool stuff.

2001
01:35:19,159 --> 01:35:20,000
Speaker 3: I think that's great.

2002
01:35:20,439 --> 01:35:21,680
Speaker 1: And it's been dad.

2003
01:35:22,000 --> 01:35:25,119
Speaker 5: Yeah, and it did flying Actually did get to you're

2004
01:35:25,159 --> 01:35:27,399
talking about taking people up. I did take my eighty

2005
01:35:27,479 --> 01:35:30,479
year old grandmother up at one point, you know, helped

2006
01:35:30,479 --> 01:35:32,159
her get up into the plane, and you know, we

2007
01:35:32,439 --> 01:35:35,800
took a nice tour down, you know, past down to Letchworth,

2008
01:35:36,199 --> 01:35:39,159
you know, saw something, sights and everything that's cool, you know,

2009
01:35:39,239 --> 01:35:42,279
coming home and of course I got my license at

2010
01:35:42,319 --> 01:35:45,159
my training at the big airport, you know, so uh

2011
01:35:45,960 --> 01:35:49,000
coming back in and you know, landing and courses across

2012
01:35:49,000 --> 01:35:50,520
wind landing and you know, I was like, all right,

2013
01:35:50,560 --> 01:35:52,800
Grandma's plane's not going to be looking like it's going

2014
01:35:52,880 --> 01:35:54,960
right at the runway when I'm landing here. She's like, okay,

2015
01:35:55,960 --> 01:35:57,920
she's just calm, cool, yeah, you know, collected.

2016
01:35:58,079 --> 01:36:00,760
Speaker 3: Yeah, because if this is how tod it's fine.

2017
01:36:01,239 --> 01:36:03,359
Speaker 5: Okay with that. She's she lived her life well she was.

2018
01:36:03,439 --> 01:36:05,960
She grew up back in the day where she you know,

2019
01:36:06,039 --> 01:36:08,680
new farmers and they would go up in crop duster. Yeah,

2020
01:36:08,760 --> 01:36:10,680
you know, and those those guys are insane.

2021
01:36:10,720 --> 01:36:15,560
Speaker 2: Peah. Yeah. I always wanted to do a glider where

2022
01:36:15,560 --> 01:36:17,520
they you know, they pull you up and then they

2023
01:36:17,600 --> 01:36:21,800
just let you go. It just looks so cool, and

2024
01:36:22,239 --> 01:36:24,159
I would think it's pretty safe.

2025
01:36:25,359 --> 01:36:28,319
Speaker 3: Yeah, for the most part. There's no an yeah.

2026
01:36:28,399 --> 01:36:32,199
Speaker 5: Yeah, yeah, keep you know, your altitude where it needs

2027
01:36:32,199 --> 01:36:33,880
to be and you know, slow descent.

2028
01:36:34,199 --> 01:36:34,439
Speaker 3: Yeah.

2029
01:36:34,560 --> 01:36:38,840
Speaker 2: My uncle was a pilot for Delta, and uh, he

2030
01:36:38,840 --> 01:36:42,479
would never do single engine. Don't always go yeah, you

2031
01:36:42,560 --> 01:36:46,319
can't do that. No, there's no backup. But that's what most.

2032
01:36:46,199 --> 01:36:49,399
Speaker 3: People learn on that's where you gotta start start yeah,

2033
01:36:49,600 --> 01:36:49,920
I think.

2034
01:36:50,079 --> 01:36:57,079
Speaker 2: Uh, Anthony Danielli from the Danielli family of yeah property enterprises, enterprises,

2035
01:36:57,119 --> 01:36:57,520
thank you.

2036
01:36:57,960 --> 01:36:58,239
Speaker 3: Uh.

2037
01:36:58,720 --> 01:37:00,840
Speaker 2: He flies and he'll fly up to Boston to see

2038
01:37:00,840 --> 01:37:02,880
his sun live's up there, like go.

2039
01:37:02,800 --> 01:37:03,880
Speaker 1: There for lunch and come back.

2040
01:37:03,960 --> 01:37:05,359
Speaker 3: Yeah. Yeah, yeah, yeah.

2041
01:37:05,439 --> 01:37:07,760
Speaker 5: They have fly in breakfast sometimes too, they have what

2042
01:37:08,039 --> 01:37:10,520
they fly in breakfast? What is that people do? They

2043
01:37:10,600 --> 01:37:13,199
rent their plane and they go fly to some you know,

2044
01:37:13,399 --> 01:37:16,199
small airport and you know, small town, and they all

2045
01:37:16,199 --> 01:37:18,720
have breakfast and you know they come back. You know,

2046
01:37:18,760 --> 01:37:21,079
it's like the one hundred dollars pancake breakfast.

2047
01:37:21,319 --> 01:37:23,479
Speaker 3: Oh it's amazing. Yeah.

2048
01:37:23,520 --> 01:37:27,800
Speaker 2: I remember hearing about there was a I hurt my

2049
01:37:27,960 --> 01:37:30,439
back so I couldn't. I didn't end up going to

2050
01:37:30,479 --> 01:37:34,359
my cousin's wedding, but I was talking to one of

2051
01:37:34,359 --> 01:37:38,159
the chefs who used to work at Wegmans, and he goes, yeah,

2052
01:37:38,239 --> 01:37:40,680
I got on a plane with Danny and we flew

2053
01:37:40,720 --> 01:37:46,920
out to that restaurant in Park City, Utah, and flew back.

2054
01:37:47,520 --> 01:37:50,039
I was home in bed, in my own bed. I go,

2055
01:37:50,560 --> 01:37:53,279
that's the kind of life I want. I want because

2056
01:37:53,319 --> 01:37:55,399
I always think that there's different. I've said this too

2057
01:37:55,439 --> 01:37:58,359
many times and I'll repeat myself again. But the different

2058
01:37:58,439 --> 01:38:01,479
levels of money, Right, there's the you know, the rich guy.

2059
01:38:01,560 --> 01:38:04,359
Then there's the people who have fuck you money, right,

2060
01:38:04,399 --> 01:38:06,479
you know, you scratch my car, I'm just gonna go

2061
01:38:06,479 --> 01:38:08,479
buy a new one, fuck you. And then there's the

2062
01:38:08,520 --> 01:38:10,760
fuck me money. And the fuck me money are the

2063
01:38:10,800 --> 01:38:13,000
people who just burn it into don't even care. Like

2064
01:38:13,079 --> 01:38:17,840
I say, Galisano is my hero because he fights all

2065
01:38:17,880 --> 01:38:21,880
the bullshit, knows he's gonna lose. He fought goosse shit

2066
01:38:22,600 --> 01:38:25,680
goosh who fights goose shit goose shit.

2067
01:38:25,600 --> 01:38:26,640
Speaker 3: On his property.

2068
01:38:26,960 --> 01:38:30,239
Speaker 2: He went after the town for not controlling the geese population,

2069
01:38:30,720 --> 01:38:32,760
which I wonder if they did start to do it

2070
01:38:32,760 --> 01:38:35,000
because we didn't hear as many complaints and it's not

2071
01:38:35,079 --> 01:38:37,840
just his property. But he has the money to go.

2072
01:38:38,000 --> 01:38:39,640
I don't give a fuck if I win or lose.

2073
01:38:39,680 --> 01:38:42,079
That's the fuck me money. He fucked himself. I go,

2074
01:38:42,159 --> 01:38:45,359
that's amazing. That's the rich I want to be. That's

2075
01:38:45,399 --> 01:38:49,000
the rich I want to be. Aspiration, Yes, it's aspirations.

2076
01:38:49,199 --> 01:38:51,920
All right, we'll close it out. I uh, I apologize.

2077
01:38:51,920 --> 01:38:54,359
I hope I didn't embarrass anybody with that one. But

2078
01:38:54,520 --> 01:39:00,680
I think great information about prostate health and overall sexual

2079
01:39:00,680 --> 01:39:03,000
health for men, which is something that I think is

2080
01:39:03,039 --> 01:39:06,439
really important. If somebody, I'm sure they need a referral

2081
01:39:06,720 --> 01:39:07,279
to get.

2082
01:39:07,079 --> 01:39:11,640
Speaker 5: To usually not usually, Yeah, I do have you know,

2083
01:39:11,720 --> 01:39:15,199
referrals from you know, outside from primary care doctors. Yeah,

2084
01:39:15,239 --> 01:39:18,359
sometimes within you know, urologists, you know who you know,

2085
01:39:18,439 --> 01:39:21,319
you might be having kidney stone problems and then you

2086
01:39:21,319 --> 01:39:23,279
know you have another issue and they'll say, oh, go

2087
01:39:23,319 --> 01:39:26,399
see our you know, our sexual medicine team and you

2088
01:39:26,399 --> 01:39:27,800
know they'll help you out with that. But yeah, you

2089
01:39:28,119 --> 01:39:31,000
can call up a urology practice and say, hey, I

2090
01:39:31,079 --> 01:39:33,119
want to you know, get into get seen.

2091
01:39:33,000 --> 01:39:33,920
Speaker 1: Just like the old days.

2092
01:39:33,960 --> 01:39:34,439
Speaker 3: Oh you can.

2093
01:39:34,560 --> 01:39:36,880
Speaker 5: Yeah, some people who are self self referred.

2094
01:39:37,119 --> 01:39:38,880
Speaker 1: Did not know that, get ten of them and you

2095
01:39:38,920 --> 01:39:39,920
get like a free appointment.

2096
01:39:40,000 --> 01:39:42,520
Speaker 5: Yeah I want it. You know it's oh, who referred you,

2097
01:39:42,640 --> 01:39:44,560
and you know they'll ask for that and you know,

2098
01:39:44,640 --> 01:39:47,199
but it's you don't have to go through separate channels

2099
01:39:47,239 --> 01:39:48,319
to to get into be seen.

2100
01:39:48,520 --> 01:39:51,159
Speaker 2: Yeah. Okay, that's interesting because I thought you did have

2101
01:39:51,199 --> 01:39:53,159
to like go to your primary first and then they

2102
01:39:53,159 --> 01:39:54,239
had to refer you. Yeah.

2103
01:39:54,520 --> 01:39:56,760
Speaker 5: I think a while ago it was more like that.

2104
01:39:57,039 --> 01:40:00,359
Speaker 2: Okay, I see, I'm old school, old school with the

2105
01:40:01,239 --> 01:40:02,960
with the health Dan.

2106
01:40:03,039 --> 01:40:03,880
Speaker 3: It was a pleasure.

2107
01:40:03,960 --> 01:40:08,079
Speaker 2: We learned a lot of stuff. Appreciate reconnecting with Barrilla

2108
01:40:08,239 --> 01:40:13,479
from the old uh Diggler's Bridge days and uh Danny

2109
01:40:13,520 --> 01:40:15,720
always good questions. I didn't I didn't mean to make

2110
01:40:15,720 --> 01:40:18,520
any I love though laughing. I love how serious you get.

2111
01:40:18,720 --> 01:40:19,479
It's my favorite.

2112
01:40:19,600 --> 01:40:20,239
Speaker 1: I appreciate that.

2113
01:40:22,199 --> 01:40:22,840
Speaker 2: Intelligence.

2114
01:40:22,920 --> 01:40:25,119
Speaker 1: Yeah, we had one guy calling the breaking Hey, don't

2115
01:40:25,399 --> 01:40:27,119
you shut or bites.

2116
01:40:27,359 --> 01:40:29,600
Speaker 3: It's Vinny love to get under your skin.

2117
01:40:29,760 --> 01:40:30,279
Speaker 2: That's all right.

2118
01:40:31,199 --> 01:40:32,119
Speaker 1: I've lived a life.

2119
01:40:33,039 --> 01:40:33,840
Speaker 3: I'm Bill Moran.

2120
01:40:33,960 --> 01:40:37,800
Speaker 2: Tomorrow someone's birthday or maybe today as you're listening to this, we'll.

2121
01:40:37,600 --> 01:40:42,319
Speaker 3: Be celebrating tomorrow. I can't imagine who it is. We'll

2122
01:40:42,319 --> 01:40:43,000
see you tomorrow.

2123
01:40:43,640 --> 01:40:46,760
Speaker 1: Opportunity for me is just a curse that judging make

2124
01:40:46,880 --> 01:40:47,239
us feel